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SUJATHA MEDICAL PC
NPI 1720129737
Internal Medicine in Queens Village, NY

Active since February 11, 2007CLIA 33D1055172 · Waiver
21414 HILLSIDE AVE, QUEENS VILLAGE, NY 11427(718) 264-2700(718) 264-2702 Get Directions Write a Review

NPPES record last updated: April 17, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sujatha Medical Pc NPPES

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

SUJATHA MEDICAL PC (NPI 1720129737) is a healthcare organization registered as an internal medicine in Queens Village, New York and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through June 11, 2028 and lists Sujatha Rajan, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1720129737
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSUJATHA MEDICAL PC
Location Address21414 HILLSIDE AVEQueens Village, NY 11427-1808
Mailing Address6636 Yellowstone Blvd, Apt. 18fForest Hills, NY 11375-2510 · (718) 264-2700
Phone(718) 264-2700
Fax(718) 264-2702
Organization SubpartNo
Authorized OfficialSujatha RajanMedical Doctor · (718) 264-2700
Enumeration DateFebruary 11, 2007
Last NPPES UpdateApril 17, 2008
✔ NPI 1720129737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

21414 HILLSIDE AVE, Queens Village, NY 11427
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Other Identifiers 2

Other07554NY · Medicare - Ghi
Medicare UPINH08851NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1055172

Sujatha Medical PC · Queens Village, NY
Active · expires Jun 11, 2028
CLIA Number33D1055172
Laboratory TypePhysician Office
Certificate Effective DateJune 12, 2026
Certificate Expiration DateJune 11, 2028
Laboratory DirectorSujatha Rajan
Laboratory Phone(718) 264-2700
Laboratory LocationSujatha Medical PC214-14 Hillside Avenue, Queens Village, NY 11427
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MRS. SUJATHA RAJAN M.D
Internal Medicine
21414 HILLSIDE AVE
QUEENS VILLAGE, NY 11427
Queens County (718) 264-2700

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 Sujatha Medical PC's NPI number?

The NPI number for Sujatha Medical PC is 1720129737. It was assigned to this organization in the NPPES registry on February 11, 2007.

Where is Sujatha Medical PC located?

Sujatha Medical PC is located at 21414 Hillside Ave, Queens Village, NY 11427. The listed phone number is (718) 264-2700.

What is Sujatha Medical PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Sujatha Medical PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1055172) is associated with this NPI, valid through June 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sujatha Medical PC was last updated on April 17, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.