DR. JOSEPH SUJAI UDOMSAPH (NPI# 1487851366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487851366 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH SUJAI UDOMSAPH |
| Credential | M.D. |
| Practice Address |
7 Baltic St Edison NJ 08820-2724 |
| Practice Telephone | 7322086066 |
| Practice Fax Number | 7325490025 |
| Mailing Telephone | 7322086066 |
| Mailing Fax Number | 7325490025 |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
NJ | Allopathic & Osteopathic Physicians |
| Street Address |
7 BALTIC ST |
| City | EDISON |
| State | NJ |
| Zip Code | 08820-2724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457964702 | Time Line Diagnostic LLC | Spec/Tech, Cardiovascular | 25 Cinder Road Apt 3j, Edison, NJ 08820 | 2020-08-26 |
| 1376185504 | Jason Chester | Physical Therapist | 72 Nj-27, Edison, NJ 08820 | 2019-10-09 |
| 1497237838 | Pooja Kansagra | Behavior Technician | 3826 Park Ave Suite 102, Edison, NJ 08820 | 2018-09-01 |
| 1568941086 | Thomas Dipaolo LLC | Physical Therapist | 3840 Park Ave # D108, Edison, NJ 08820 | 2018-08-07 |
| 1467939561 | Aisha Musa Abdulkadir | Student in an Organized Health Care Education/Training Program | Jfk Family Practice, 65 James Street, Edison, NJ 08820 | 2018-07-23 |
| 1801380522 | Edison Spine and Pain Management, P.C. | Physical Medicine & Rehabilitation | 1692 Oak Tree Road, Edison, NJ 08820 | 2018-06-16 |
| 1386136521 | Chirag A Gandhi | Physical Therapist | 3830 Park Ave Ste 202, Edison, NJ 08820 | 2018-06-04 |
| 1770097446 | Arthur Royzner | Dentist | 1 Lincoln Hwy Ste 6, Edison, NJ 08820 | 2017-11-16 |
| 1356850671 | Nj Allergy & Asthma Care LLC | Clinic/Center | 26 Parker Rd, Edison, NJ 08820 | 2017-09-29 |
| 1790226223 | Julianna Marie Zilli | Specialist/Technologist | 24 Woodrow Wilson Dr, Edison, NJ 08820 | 2017-03-16 |
| Find all providers in zip 08820 | ||||
| Taxonomy Code | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104064971 | Victoriya Staab | Surgery | 4 Industrial Way, Suite 100, Eatontown, NJ 07724-4238 | 2009-01-31 |
| 1699937961 | Meridian Pediatric Surgical Associates, P.C. | Surgery | 4 Industrial Way W Ste 100, Eatontown, NJ 07724-4239 | 2008-06-27 |
| 1851355317 | Saverio Joseph Panzarino | Surgery | 53 Sentinel Dr, Basking Ridge, NJ 07920-4231 | 2006-04-13 |
| 1205812005 | Saad A Saad | Surgery | 615 Hope Rd, Bld 1 A, Eatontown, NJ 07724-1277 | 2005-12-22 |
| 1417591645 | Stc Pediatrics LLC | Surgery | 100 Kings Way E Ste C, Sewell, NJ 08080-2238 | 2019-10-31 |
| 1083939573 | Jennifer M Murphy | Surgery | 100 Madison Avenue, Farris Building, Third Floor, Morristown, NJ 07960 | 2010-03-29 |
| 1649463696 | Cooper Surgical Asscociates | Surgery | 3 Cooper Plz, Suite 411, Camden, NJ 08103-1438 | 2007-08-23 |
| 1528265279 | Joelle Pierre | Surgery | One Robert Wood Johnson Place, Department of Pediatric Surgery, New Brunswick, NJ 08903 | 2007-06-27 |
| 1932223203 | Saad A Saad Md Pa | Surgery | 615 Hope Rd, Eatontown, NJ 07724-1277 | 2007-03-19 |
| 1659406957 | Rutgers Health-rwj Pediatric Neurosurgery | Surgery | 125 Paterson St, Umdnj Rwj Pediatric Neuosurgery Suite 2100, New Brunswick, NJ 08901-1962 | 2007-02-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. JOSEPH SUJAI UDOMSAPH.
| 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.