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

Q: 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.

Q: What is Balaji Sutharsanam's specialty?

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

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: August 16, 2026.

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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 UpdateSeptember 3, 2019

✔ 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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License S94800710005902 (NJ)

30 PROSPECT AVE, Hackensack, NJ 07601

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Secondary Practice Location 1

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

Medicare Participation & PECOS CMS

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

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.

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)