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DR. SURASAK PUVABANDITSIN MD
NPI 1235135880
Pediatrics - Neonatal-Perinatal Medicine in New Brunswick, NJ

Active since June 28, 2005PECOS EnrolledAccepts Medicare Assignment
1 ROBERT WOOD JOHNSON PL, MEB 396, NEW BRUNSWICK, NJ 08901(732) 235-5691(732) 235-5668 Get Directions Write a Review

NPPES record last updated: March 17, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Surasak Puvabanditsin Md NPPES

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

DR. SURASAK PUVABANDITSIN MD (NPI 1235135880) is an individual neonatal-perinatal medicine provider in New Brunswick, New Jersey, licensed in New Jersey (25MA04160100) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1977).

NPPES Registry Identity

NPI1235135880
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameDR. SURASAK PUVABANDITSINCredential: MD
Location Address1 ROBERT WOOD JOHNSON PL, MEB 396New Brunswick, NJ 08901-1928
Mailing Address32 Carriage DrPiscataway, NJ 08854-5968 · (732) 980-9308 · Fax (732) 980-0033
Phone(732) 235-5691
Fax(732) 235-5668
Sole ProprietorNo
Medical School CMSOtherGraduated 1977
Enumeration DateJune 28, 2005
Last NPPES UpdateMarch 17, 2017
✔ NPI 1235135880 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 · 25MA04160100
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 25MA04160100 (NJ)
1 ROBERT WOOD JOHNSON PL, New Brunswick, NJ 08901
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Other Identifiers 3

Medicaid3816508NJ
Medicare UPINC61353
Medicare PIN688572CY4

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Surasak Puvabanditsin Md 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 ID2860576345
PECOS Enrollment IDI20080221000488
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.

LOKESH LAHOTI
Internal Medicine
1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 823-3000
BILLIE S FYFE KIRSCHNER MD
Pathology (Anatomic Pathology)
1 ROBERT WOOD JOHNSON PL, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL NEW BRUNSWICK
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 937-8651
LISANNE HAUCK
Pediatrics (Pediatric Critical Care Medicine)
1 ROBERT WOOD JOHNSON PL, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - NEW BRUNSWICK
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-7900
DANIEL NOTTERMAN
Pediatrics (Pediatric Critical Care Medicine)
1 ROBERT WOOD JOHNSON PL, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - NEW BRUNSWICK
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-7900
SHAUL COHEN MD
Anesthesiology
1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 937-8841
AMANDA BORHAM M.D.
Internal Medicine
1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-7794
DEVON AMANDA ORZANO APN
Nurse Practitioner (Acute Care)
1 ROBERT WOOD JOHNSON PL, 2 CORE - RM. 257
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 828-3000
GAMAL MOHAMED MD
Emergency Medicine
1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 828-3000

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 Surasak Puvabanditsin's NPI number?

The NPI number for Surasak Puvabanditsin is 1235135880. It was assigned to this individual provider in the NPPES registry on June 28, 2005.

Where is Surasak Puvabanditsin located?

Surasak Puvabanditsin practices at 1 Robert Wood Johnson Pl Meb 396, New Brunswick, NJ 08901. The listed phone number is (732) 235-5691.

What is Surasak Puvabanditsin's specialty?

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

Is Surasak Puvabanditsin enrolled in Medicare?

Yes. Surasak Puvabanditsin 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.

What insurance does Surasak Puvabanditsin accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Surasak Puvabanditsin 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 Surasak Puvabanditsin was last updated on March 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.