| Dr Gnana Sunderam, MD | |
|
310 Central Ave, Suite 205, East Orange, NJ 07018-2835 | |
| (973) 266-9111 | |
| (973) 266-1227 |
| Full Name | Dr Gnana Sunderam |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 40 Years |
| Location | 310 Central Ave, East Orange, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164446761 | NPI | - | NPPES |
| 1264508 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RP1001X | Internal Medicine - Pulmonary Disease | 25MA0429800 (New Jersey) | Secondary |
| 207R00000X | Internal Medicine | 25MA0429800 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Michael's Medical Center | Newark, NJ | Hospital |
| East Orange General Hospital | East orange, NJ | Hospital |
| Park Crescent Healthcare & Rehabilitation Center | East orange, NJ | Nursing home |
| Alaris Health At St Mary's | Orange, NJ | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| State Of New Jersey Omb Centralized Payroll | 6406742592 | 87 |
| Central Avenue Professional Services, Pc | 7214258003 | 49 |
| Entity Name | State Of New Jersey Omb Centralized Payroll |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336221878 PECOS PAC ID: 6406742592 Enrollment ID: O20040420000292 |
| Entity Name | Gnana Sunderam Md; Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245549583 PECOS PAC ID: 3678766649 Enrollment ID: O20101022000292 |
| Entity Name | Central Avenue Professional Services, Pc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1447649694 PECOS PAC ID: 7214258003 Enrollment ID: O20150604002544 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gnana Sunderam, MD 310 Central Ave, Suite 205, East Orange, NJ 07018-2835 Ph: (973) 266-9111 | Dr Gnana Sunderam, MD 310 Central Ave, Suite 205, East Orange, NJ 07018-2835 Ph: (973) 266-9111 |
Tara Rajiyah, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 60 Evergreen Pl Ste 4, East Orange, NJ 07018 Phone: 973-395-1550 | |
Mrs. Indu N Vira, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 60 Evergreen Place, Suite 400, East Orange, NJ 07018 Phone: 973-395-1550 Fax: 973-395-1556 | |
Dr. Vijay Ragavan, M.D Internal Medicine Medicare: Medicare Enrolled Practice Location: 385 Tremont Ave, Va New Jersey Healthcare System, East Orange, NJ 07018 Phone: 973-676-1000 Fax: 973-395-7003 | |
Dr. Amrutha Viswanatha, M.D Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 385 Tremont Ave, East Orange, NJ 07018 Phone: 973-676-1000 | |
Dr. Sithiporn Sastrasinh, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 385 Tremont Ave., Medical Service (111), East Orange, NJ 07018 Phone: 973-395-7771 | |
Mr. Kulandaivelu Chandrasekaran, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 385 Tremont Ave Ste 9-167 Msc 111, Veterans Affairs Medical Center, East Orange, NJ 07018 Phone: 973-676-1000 | |
Dr. Nabeel Obaid, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 310 Central Ave, Suite 102, East Orange, NJ 07018 Phone: 201-512-9494 |