DR. SHYAM SUNDER SUKUMAR (NPI# 1306157185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306157185 |
| Entity Type | Individual |
| Full Name | DR. SHYAM SUNDER SUKUMAR |
| Credential | MD |
| Practice Address |
161 Fort Washington Ave Fl 11 New York NY 10032 |
| Mailing Address |
161 Fort Washington Ave Fl 11 New York NY 10032-3729 |
| Practice Telephone | 2123050157 |
| Practice Fax Number | 2123050116 |
| Mailing Telephone | 2123050114 |
| Mailing Fax Number | 2123050116 |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2019-09-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 292120 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 05093518 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 161 Fort Washington Ave Fl 11, New York, NY 10032 | 2123050157 | 2123050116 |
| Street Address |
161 FORT WASHINGTON AVE FL 11 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285197053 | David Sanghyuk Han | Student in an Organized Health Care Education/Training Program | 161 Fort Washington Ave Fl 11, New York, NY 10032-3729 | 2019-04-09 |
| 1578060505 | George Moran | Student in an Organized Health Care Education/Training Program | 161 Fort Washington Ave Fl 11, New York, NY 10032-3729 | 2018-04-06 |
| 1013395730 | Matthew Katz | Urology | 161 Fort Washington Ave Fl 11, New York, NY 10032-3729 | 2015-05-14 |
| 1558757419 | Jenny Nhu Nguyen | Urology | 161 Fort Washington Ave Fl 11, New York, NY 10032-3729 | 2015-04-07 |
| 1366836637 | Valary Raup | Urology | 161 Fort Washington Ave Fl 11, New York, NY 10032-3729 | 2015-03-25 |
| 1588058168 | Ruth Blum | Urology | 161 Fort Washington Ave Fl 11, New York, NY 10032-3729 | 2015-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658301 | Julia Sophia White | Registered Nurse | 622 W 168th St, New York, Ny, New York, NY 10032 | 2020-10-29 |
| 1326653411 | Simbarashe S Mudiwa | Massage Therapist | 615 W 165th St, Apt 1b, New York, NY 10032 | 2020-09-15 |
| 1063021335 | Margaret E O'neil | Physical Therapist | 180 Fort Washington St, Harkness 1-164, New York, NY 10032 | 2020-07-23 |
| 1780207480 | Bing Mei Teh | Student in an Organized Health Care Education/Training Program | 180 Fort Washington Ave, Harkness Pavillion 7th Floor, Department of Otolaryngology, New York, NY 10032 | 2020-05-28 |
| 1295354116 | Kavin Fatehchand | Student in an Organized Health Care Education/Training Program | 630 West 168th Street, New York, Ny 10032, New York, NY 10032 | 2020-04-10 |
| 1417584020 | Laura Faye Willard | Student in an Organized Health Care Education/Training Program | 177 Ft. Washington Ave., 7gs-313, New York, NY 10032 | 2020-03-24 |
| 1356976641 | Thomas Joseph Cahill | Student in an Organized Health Care Education/Training Program | Columbia Heart & Valve Center, New York Presbyterian/co, 161 Fort Washington Avenue, Herbert Irving Pavilion 6 F, New York City, NY 10032 | 2020-03-06 |
| 1346874765 | Paulo Roberto De Paula Selber | Orthopaedic Surgery | Department of Orthopedic Surgery - Chony, 3959 Broadway, 8 North, Room 803, New York, NY 10032 | 2020-02-25 |
| 1720611312 | Rachel Dawn Vanderlaan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Newyork-presbyterian Morgan Stanley Children's Hospital, 3959 Broadway Ave Suite: 274, New York, NY 10032 | 2020-02-21 |
| 1881225928 | Daniel Molina Garcia | Social Worker | 180 Fort Washingtion Avenue, 6th Fl, New York, NY 10032 | 2020-01-28 |
| Find all providers in zip 10032 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714221 | Total Urology Office Based Surgery LLC | Urology | 7 W 51st St Ste 1&4, 8th Floor, New York, NY 10019-6910 | 2020-03-05 |
| 1639709561 | American Medical PC | Urology | 45 W 34th St Rm 901, New York, NY 10001-3145 | 2020-01-20 |
| 1548728058 | Jose Miguel Flores Martinez | Urology | 16 E 60th St Ste 402, New York, NY 10022-1096 | 2019-03-05 |
| 1245796846 | Miroslav L Djordjevic | Urology | 1425 Madison Ave Fl 6, New York, NY 10029-6514 | 2019-02-19 |
| 1588025654 | Brm Holdings LLC | Urology | 930 5th Ave Apt 8h, New York, NY 10021-2680 | 2016-03-16 |
| 1720405020 | Boston Medical, P.C. | Urology | 45 W. 34th Street, Suite 901, New York, NY 10016 | 2014-03-25 |
| 1740622646 | Stanley Arthur Ginsberg | Urology | 401 East 80th St, Apt 9k, New York, NY 10075-0298 | 2013-07-22 |
| 1871842997 | Gerald Zelikovsky, M.d., P.C. | Urology | 5 East 84th Street, New York, NY 10002-0407 | 2012-09-05 |
| 1154679876 | Jawad Antoine Feghali | Urology | 215 E 77th St Apt 2e, New York, NY 10075-2101 | 2012-08-28 |
| 1467714576 | Mohit Gupta | Urology | 222 E 41st St Fl 12, New York, NY 10017-6739 | 2012-06-14 |
| Find all providers in NEW YORK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.