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DR. ASHANY SUNDARAM M.D.
NPI 1124310404
Family Medicine in West Caldwell, NJ

Active since May 05, 2011PECOS EnrolledAccepts Medicare Assignment
1129 BLOOMFIELD AVE STE 100, WEST CALDWELL, NJ 07006(973) 429-6864(973) 521-7888 Get Directions Write a Review

NPPES record last updated: November 27, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 27, 2020, Jul 8, 2020, Oct 3, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Ashany Sundaram M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ASHANY SUNDARAM M.D. (NPI 1124310404) is an individual family medicine provider in West Caldwell, New Jersey, licensed in New Jersey (25MA10037100) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1124310404
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ASHANY SUNDARAMCredential: M.D.
Location Address1129 BLOOMFIELD AVE STE 100West Caldwell, NJ 07006-7123
Mailing AddressPo Box 419430Boston, MA 02241-9430 · (201) 967-8221 · Fax (201) 483-2242
Phone(973) 429-6864
Fax(973) 521-7888
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMay 5, 2011
Last NPPES UpdateNovember 27, 20204 updates tracked since enumeration
NPPES CertifiedNovember 27, 2020
✔ NPI 1124310404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · 25MA10037100
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1129 BLOOMFIELD AVE STE 100, West Caldwell, NJ 07006
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ashany Sundaram M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224266770
PECOS Enrollment IDI20171220001064
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ashany Sundaram reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mpv New Jersey MD Services PC
18 mi
General Practice
250 OLD HOOK RD
Westwood, NJ 07675
  • Reassigned Medicare billing, New Jersey enrollment
  • 189 clinicians in this Medicare group
NPI 1215391271 (201) 781-1387

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
313 services186 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
165 services165 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
45 services44 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
35 services35 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
34 services34 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
33 services33 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310015
Location100 Madison AveMorristown, NJ 07960 · Morris County
Emergency services Birthing friendly

Hackensack Meridian Health, Mountainside Medical

Acute Care Hospitals · Montclair, NJ
2/5 CMS rating
OwnershipProprietary
CMS Certification Number310054
Location1 Bay AvenueMontclair, NJ 07042 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07006 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JONATHAN AVIV GOLANI MD
Internal Medicine
1129 BLOOMFIELD AVE STE 100
WEST CALDWELL, NJ 07006
Essex County (973) 429-6864

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ashany Sundaram's NPI number?

The NPI number for Ashany Sundaram is 1124310404. It was assigned to this individual provider in the NPPES registry on May 5, 2011.

Where is Ashany Sundaram located?

Ashany Sundaram practices at 1129 Bloomfield Ave Ste 100, West Caldwell, NJ 07006. The listed phone number is (973) 429-6864.

What is Ashany Sundaram's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ashany Sundaram enrolled in Medicare?

Yes. Ashany Sundaram is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Ashany Sundaram's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashany Sundaram reassigns Medicare benefits to Mpv New Jersey MD Services PC (Westwood, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ashany Sundaram's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ashany Sundaram accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Ashany Sundaram as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ashany Sundaram affiliated with any hospitals?

According to CMS data, Ashany Sundaram is affiliated with Morristown Medical Center and Hackensack Meridian Health, Mountainside Medical.

When was this NPI record last updated?

The NPPES record for Ashany Sundaram was last updated on November 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.