DR. SURASAK PUVABANDITSIN MD
NPI 1235135880
Pediatrics - Neonatal-Perinatal Medicine in New Brunswick, NJ
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
Specialties & Licenses 2
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Surasak Puvabanditsin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New Brunswick, NJ 08901
- Reassigned Medicare billing, New Jersey enrollment
- 492 clinicians in this Medicare group
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.
NEW BRUNSWICK, NJ 08901
NEW BRUNSWICK, NJ 08901
NEW BRUNSWICK, NJ 08901
NEW BRUNSWICK, NJ 08901
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.
Which organization bills Medicare for Surasak Puvabanditsin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Surasak Puvabanditsin reassigns Medicare benefits to Rutgers Health-Rwj Pediatric Critical Care (New Brunswick, NJ). The 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 Surasak Puvabanditsin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Surasak Puvabanditsin accept?
Health plans from Oscar Health 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.
# Dr. Surasak Puvabanditsin, MD · NPI 1235135880
Neonatal-Perinatal Medicine physician in New Brunswick, New Jersey. Individual provider, active in the CMS NPPES registry since June 28, 2005.
## Identity
- **NPI:** 1235135880 (Entity type: Individual)
- **Enumerated:** June 28, 2005
- **Primary specialty:** Pediatrics - Neonatal-Perinatal Medicine · taxonomy 2080N0001X
- **State license:** 25MA04160100 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 ROBERT WOOD JOHNSON PL, MEB 396, New Brunswick, NJ 08901-1928
- **Phone:** (732) 235-5691 · **Fax:** (732) 235-5668
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Rutgers Health-Rwj Pediatric Critical Care (NPI 1164510400, New Brunswick, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1977
## Record status
- **NPPES last updated:** March 17, 2017
- **Other identifiers:** Medicaid 3816508 (NJ); Medicare UPIN C61353; Medicare PIN 688572CY4
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Source: [NPI Profile](https://npiprofile.com/npi/1235135880) · Data from the CMS NPPES public registry.