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

MS. MARY SUJANA KANTHARAJ RPA-C
NPI 1417947631
Physician Assistant - Medical in Johnson City, NY

Active since October 27, 2005
15 RIVERSIDE DR, JOHNSON CITY, NY 13790(607) 770-9050(607) 770-9091 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Mary Sujana Kantharaj Rpa-c NPPES

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

MS. MARY SUJANA KANTHARAJ RPA-C (NPI 1417947631) is an individual medical provider in Johnson City, New York, licensed in New York (009664) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1417947631
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. MARY SUJANA KANTHARAJCredential: RPA-C
Location Address15 RIVERSIDE DRJohnson City, NY 13790-2742
Mailing Address15 Riverside DrJohnson City, NY 13790-2742 · (607) 770-9050 · Fax (607) 770-9091
Phone(607) 770-9050
Fax(607) 770-9091
Sole ProprietorNo
Enumeration DateOctober 27, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1417947631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 009664
15 RIVERSIDE DR, Johnson City, NY 13790
Open in Google Maps ↗

Other Identifiers 1

Medicaid01283132NY

Other Providers at the Same Location NPPES 8

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

KELLY MARIE DEVINE
Counselor (Mental Health)
15 RIVERSIDE DR
JOHNSON CITY, NY 13790
Broome County (607) 217-4170
TIER ENT ASSOCIATES, PC
Clinic/Center (Medical Specialty)
15 RIVERSIDE DR
JOHNSON CITY, NY 13790
Broome County (607) 770-9050
EVOLUTION MENTAL HEALTH COUNSELING PLLC
Counselor (Mental Health)
15 RIVERSIDE DR
JOHNSON CITY, NY 13790
Broome County (607) 217-4170
MR. ALAN M GELLER R.P.A-C.
Physician Assistant
15 RIVERSIDE DR
JOHNSON CITY, NY 13790
Broome County (607) 770-9050
TIFFANY F SCOTT LMHC
Counselor
15 RIVERSIDE DR
JOHNSON CITY, NY 13790
Broome County (607) 217-4170
MR. DEVIN KINCAID KOEPKE LMHC
Counselor (Mental Health)
15 RIVERSIDE DR
JOHNSON CITY, NY 13790
Broome County (607) 217-4170
MR. ELI KASSIS
Counselor (Mental Health)
15 RIVERSIDE DR
JOHNSON CITY, NY 13790
Broome County (607) 222-2928
DR. JEFFREY M KING M.D.
Otolaryngology
15 RIVERSIDE DR
JOHNSON CITY, NY 13790
Broome County (607) 770-9050

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 Kantharaj's NPI number?

The NPI number for Mary Kantharaj is 1417947631. It was assigned to this individual provider in the NPPES registry on October 27, 2005.

Where is Mary Kantharaj located?

Mary Kantharaj practices at 15 Riverside Dr, Johnson City, NY 13790. The listed phone number is (607) 770-9050.

What is Mary Kantharaj's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Mary Kantharaj 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 27 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.