DR. BALAJI SUTHARSANAM M.D.
NPI 1225486905
Pediatrics - Neonatal-Perinatal Medicine in Hackensack, NJ

Active since June 02, 2016PECOS Enrolled
30 PROSPECT AVE, HACKENSACK, NJ 07601(551) 996-2000 Get Directions Write a Review

NPPES record last updated: September 3, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Pediatrics
  • Neonatal-Perinatal Medicine
  • PECOS Enrolled

About BALAJI SUTHARSANAM

This page provides the complete NPI Profile along with additional information for Balaji Sutharsanam, a pediatrician established in Hackensack, New Jersey with a medical specialization in Pediatrics, focusing in neonatal-perinatal medicine . The healthcare provider is registered in the NPI registry with number 1225486905 assigned on June 2016. The practitioner's primary taxonomy code is 2080N0001X with license number 25MA10631300 (NJ). The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1225486905 Verify this NPI
Provider Name
DR. BALAJI SUTHARSANAM M.D.
Gender
Male
Entity Type
Individual
Location Address
30 PROSPECT AVE HACKENSACK, NJ 07601
Location Phone
(551) 996-2000
Mailing Address
60 VILLAGE RD KENDALL PARK, NJ 08824
Mailing Phone
(908) 616-3097
Is Sole Proprietor?
No
Enumeration Date
06-02-2016
Last Update Date
09-03-2019
Code Navigator

A pediatrician like Balaji Sutharsanam is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Secondary Locations

  • 185 S Orange Ave Room F-540
    Newark, NJ 07103
    (908) 616-3097

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Neonatal-Perinatal Medicine

Taxonomy Code
2080N0001X
Type
Allopathic & Osteopathic Physicians
License No.
25MA10631300
License State
NJ
Taxonomy Description
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

S94800710005902 (NJ)

Medicare Participation & PECOS Enrollment Status

Balaji Sutharsanam is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for DR. BALAJI SUTHARSANAM M.D.

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Other Providers at the Same Location


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Anesthesiology
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30 PROSPECT AVE
HACKENSACK, NJ 07601
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30 PROSPECT AVE
HACKENSACK, NJ 07601
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30 PROSPECT AVE
HACKENSACK, NJ 07601
Anesthesiology
30 PROSPECT AVE
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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225486905, enumerated as an "individual" on June 02, 2016.

The provider is located at 30 PROSPECT AVE HACKENSACK, NJ 07601 and the phone number is (551) 996-2000.

Pediatrics with taxonomy code 2080N0001X and a focus in Neonatal-Perinatal Medicine.