Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Balaji Sutharsanam, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1225486905

Dr. Balaji Sutharsanam, MD is a Student in an Organized Health Care Education/Training Program in Hackensack, New Jersey. Works from 2 locations. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Hackensack, NJ

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 185 S Orange Ave, Newark, NJ 07103-2757 — (908) 616-3097

Specialties & licences

Neonatal-Perinatal Medicine Physician (primary) Taxonomy 2080N0001X · Licence 25MA10631300 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence S94800710005902 (NJ)

Record details

NPI number1225486905
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 2, 2016
Last updated in NPPESSeptember 3, 2019

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