1. Home
  2. Directory
  3. New Jersey
  4. Hackensack
  5. Pediatrics
  6. NPI Profile

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: August 21, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 21, 2026, Sep 3, 2019 (2 updates tracked since 2019).

About Dr. Balaji Sutharsanam M.d. NPPES

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

DR. BALAJI SUTHARSANAM M.D. (NPI 1225486905) is an individual neonatal-perinatal medicine provider in Hackensack, New Jersey, licensed in New Jersey (25MA10631300) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Newark.

NPPES Registry Identity

NPI1225486905
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameDR. BALAJI SUTHARSANAMCredential: M.D.
Location Address30 PROSPECT AVEHackensack, NJ 07601-1915
Mailing Address60 Village RdKendall Park, NJ 08824-1546 · (908) 616-3097
Phone(551) 996-2000
Sole ProprietorNo
Enumeration DateJune 2, 2016
Last NPPES UpdateAugust 21, 20262 updates tracked since enumeration
NPPES CertifiedAugust 21, 2026
✔ NPI 1225486905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in NJ · 25MA10631300
Definition
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.
Also ListedPediatricsTaxonomy 208000000X · License 1398479 (NJ)
30 PROSPECT AVE, Hackensack, NJ 07601
Open in Google Maps ↗

Secondary Practice Location 1

Location 1185 S Orange Ave, Room F-540Newark, NJ 07103-2757 · Phone (908) 616-3097

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 (PECOS)

Dr. Balaji Sutharsanam M.d. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Balaji Sutharsanam reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rutgers Health-Rwj Pediatric Critical Care
34 mi
Anesthesiology
125 PATERSON ST STE 5123
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 492 clinicians in this Medicare group
NPI 1063420776 (732) 235-7246
Hackensack Meridian Health Medical Group - Specialty Care PC
38 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800

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

Other Providers at the Same Location NPPES 20

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

DR. JESUS RAFAEL ALVAREZ-PEREZ M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2453
JENNIFER NORTHRIDGE M.D.
Pediatrics (Adolescent Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2237
ANALYSA GALLEGOS MD
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2331
DR. PAARTH RAJ D.O.
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (201) 996-2000
MRS. LAUREN ANNE CARUCCI NP-C
Nurse Practitioner (Adult Health)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2000
MS. SOMDATTA GUPTA
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (973) 216-7796
ALEXANDER SHERMAN DO
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (818) 635-2802
DR. TYLER MICHAEL CHAFITZ MD, MBA
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2000

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 Balaji Sutharsanam's NPI number?

The NPI number for Balaji Sutharsanam is 1225486905. It was assigned to this individual provider in the NPPES registry on June 2, 2016.

Where is Balaji Sutharsanam located?

Balaji Sutharsanam practices at 30 Prospect Ave, Hackensack, NJ 07601. The listed phone number is (551) 996-2000.

What is Balaji Sutharsanam's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Balaji Sutharsanam enrolled in Medicare?

Yes. Balaji Sutharsanam is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Balaji Sutharsanam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Balaji Sutharsanam reassigns Medicare benefits to 2 organizations: Rutgers Health-Rwj Pediatric Critical Care (New Brunswick, NJ) and Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). Each 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 Balaji Sutharsanam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Balaji Sutharsanam accept?

Health plans from Oscar Health list Balaji Sutharsanam 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.

When was this NPI record last updated?

The NPPES record for Balaji Sutharsanam was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.