SUJATHA ANANTHAMOORTHY
NPI 1215517701
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Q: What is Sujatha Ananthamoorthy's NPI number?

The NPI number for Sujatha Ananthamoorthy is 1215517701. It was assigned to this individual provider in the NPPES registry on April 9, 2021.

Q: What is Sujatha Ananthamoorthy's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 09, 2021PECOS Enrolled

450 CLARKSON AVE # 1203, BROOKLYN, NY 11203(718) 270-1556(718) 270-7426 Get Directions Write a Review

NPPES record last updated: April 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Sujatha Ananthamoorthy NPPES

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

SUJATHA ANANTHAMOORTHY (NPI 1215517701) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215517701

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSUJATHA ANANTHAMOORTHY

Location Address450 CLARKSON AVE # 1203Brooklyn, NY 11203-2012

Mailing Address450 Clarkson Ave # 1203Brooklyn, NY 11203-2012

Phone(718) 270-1556

Fax(718) 270-7426

Sole ProprietorNo

Enumeration DateApril 9, 2021

NPPES CertifiedApril 9, 2021

✔ NPI 1215517701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

450 CLARKSON AVE # 1203, Brooklyn, NY 11203

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sujatha Ananthamoorthy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 7

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

DR. FNU NUR UL EIN MD

Student in an Organized Health Care Education/Training Program