Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MARY SUNDERRAJ D.D.S
NPI 1417946880
Dentist - General Practice in Flushing, NY

Q: What is Mary Sunderraj's NPI number?

The NPI number for Mary Sunderraj is 1417946880. It was assigned to this individual provider in the NPPES registry on October 19, 2005.

Q: What is Mary Sunderraj's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Mary Sunderraj was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.

Active since October 19, 2005

14015 HOLLY AVE, FLUSHING, NY 11355(718) 359-3113(718) 961-1665 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Mary Sunderraj D.d.s NPPES

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

DR. MARY SUNDERRAJ D.D.S (NPI 1417946880) is an individual general practice provider in Flushing, New York, licensed in New York (38331) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1417946880

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MARY SUNDERRAJCredential: D.D.S

Location Address14015 HOLLY AVEFlushing, NY 11355-3433

Mailing Address5311 254th StLittle Neck, NY 11362-1843 · (718) 359-3113 · Fax (718) 961-1665

Phone(718) 359-3113

Fax(718) 961-1665

Sole ProprietorNo

Enumeration DateOctober 19, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1417946880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NY · 38331

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

14015 HOLLY AVE, Flushing, NY 11355

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Other Identifiers 1

Medicaid00829410NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES 5

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

HAENGYEOL HEO PT PC

Physical Therapist

14015 HOLLY AVE
FLUSHING, NY 11355

Queens County (347) 379-5172

DR. LAWRENCE NEIL DIAMOND M.D.

Family Medicine (Geriatric Medicine)

14015 HOLLY AVE
FLUSHING, NY 11355

Queens County (718) 886-0400

YANG HU

Case Manager/Care Coordinator

14015 HOLLY AVE, APT 6B
FLUSHING, NY 11355

Queens County (347) 925-6049

HOLLY DENTAL SERVICES P.C.

Clinic/Center (Dental)

14015 HOLLY AVE, GROUND FLOOR
FLUSHING, NY 11355

Queens County (718) 359-3113

BIN FANG A.A

Acupuncturist

14015 HOLLY AVE
FLUSHING, NY 11355

Queens County (917) 601-3085

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 Mary Sunderraj's NPI number?

The NPI number for Mary Sunderraj is 1417946880. It was assigned to this individual provider in the NPPES registry on October 19, 2005.

Where is Mary Sunderraj located?

Mary Sunderraj practices at 14015 Holly Ave, Flushing, NY 11355. The listed phone number is (718) 359-3113.

What is Mary Sunderraj's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Mary Sunderraj accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Mary Sunderraj 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 Mary Sunderraj was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.