Dr Palanisamy S Sundaram I, MD - Pediatrics in Irvington, NJ

Dr Palanisamy S Sundaram I, MD is a Pediatrics physician based in Irvington, New Jersey. Dr Palanisamy S Sundaram I is licensed to practice in New Jersey (license number 25MA02857500) and his current practice location is 860 Grove St, Irvington, New Jersey. He can be reached at his office (for appointments etc.) via phone at (973) 399-8650.

NPI number for Dr Palanisamy S Sundaram I is 1114010477 and his current mailing address is 860 Grove St, Irvington, New Jersey. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114010477.

Contact Information

Dr Palanisamy S Sundaram I, MD
860 Grove St,
Irvington, NJ 07111-3601
(973) 399-8650
(973) 533-4470

Map and Direction




Physician's Profile

Full NameDr Palanisamy S Sundaram I
GenderMale
SpecialityPediatrics
Location860 Grove St, Irvington, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1114010477
  • Provider Enumeration Date: 10/01/2006
  • Last Update Date: 08/28/2009

Medical Identifiers

Medical identifiers for Dr Palanisamy S Sundaram I such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114010477NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 25MA02857500 (New Jersey)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Palanisamy S Sundaram I is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Palanisamy S Sundaram I, MD
860 Grove St,
Irvington, NJ 07111-3601

Ph: (973) 399-8650
Dr Palanisamy S Sundaram I, MD
860 Grove St,
Irvington, NJ 07111-3601

Ph: (973) 399-8650

Reviews and Comments


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