| Dr Sujatha Sukhavasi, MD | |
|
350 Boulevard, Passaic, NJ 07055-2840 | |
| (973) 365-4300 | |
| (845) 357-5777 |
| Full Name | Dr Sujatha Sukhavasi |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Experience | 27 Years |
| Location | 350 Boulevard, Passaic, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164605663 | NPI | - | NPPES |
| 0149594 | Medicaid | NJ | |
| 03357320 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 25MA08046800 (New Jersey) | Primary |
| 207L00000X | Anesthesiology | 238812 (New York) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Mary's General Hospital | Passaic, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Marys General Medical Group Pc | 5496112476 | 57 |
| Prime Healthcare Services - St Mary's Passaic, Llc | 6305066911 | 17 |
| Entity Name | Ambulatory Center For Endoscopy, Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1003842626 PECOS PAC ID: 4688675952 Enrollment ID: O20070130000055 |
| Entity Name | Prime Healthcare Services - St Mary's Passaic, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730508250 PECOS PAC ID: 6305066911 Enrollment ID: O20141031000263 |
| Entity Name | Parkway Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518319755 PECOS PAC ID: 2567758931 Enrollment ID: O20160912000258 |
| Entity Name | St Marys General Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477261741 PECOS PAC ID: 5496112476 Enrollment ID: O20230607000110 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sujatha Sukhavasi, MD 100 Route 59, Suite 105, Suffern, NY 10901-4927 Ph: (845) 357-5775 | Dr Sujatha Sukhavasi, MD 350 Boulevard, Passaic, NJ 07055-2840 Ph: (973) 365-4300 |
Dr. Chang J Lee, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 350 Boulevard, Passaic, NJ 07055 Phone: 973-779-7361 Fax: 973-779-7385 | |
Dr. John Anthony Vullo, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 350 Boulevard, Passaic, NJ 07055 Phone: 973-365-4410 | |
Dr. Michael E. Rhodes, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 165 Amsterdam Ave, Passaic, NJ 07055 Phone: 973-336-9459 Fax: 973-883-0144 | |
Dr. Ravi Kumar Venkataraman, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 350 Boulevard, Passaic, NJ 07055 Phone: 973-779-7361 Fax: 973-779-7385 | |
Dariusz J Nasiek, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 350 Boulevard, Passaic, NJ 07055 Phone: 973-365-4300 | |
Nandi Lee-ellis, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 350 Boulevard, Passaic, NJ 07055 Phone: 973-365-4300 Fax: 845-357-5777 |