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 | 26 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 |
---|---|---|
Prime Healthcare Services - St Mary's Passaic, Llc | 6305066911 | 8 |
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 |
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. 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: Medicare Enrolled Practice Location: 350 Boulevard, Passaic, NJ 07055 Phone: 973-365-4300 Fax: 845-357-5777 | |
Benjamin George, M.D., Anesthesiology Medicare: Medicare Enrolled Practice Location: 211 Pennington Ave, Passaic, NJ 07055 Phone: 973-779-7361 Fax: 973-779-7385 |