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

Dr. Sujatha Sukhavasi, MD

Individual provider Anesthesiology Physician · NPI 1164605663

Dr. Sujatha Sukhavasi, MD is an Anesthesiology in Passaic, New Jersey. Qualified in 1998, 28 years ago. Practices with St Marys General Medical Group PC, a 74-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
28
Licensed in
NJ, NY
In the registry since
2007
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

350 Blvd
Passaic, NJ 07055-2840
Phone: (973) 365-4300
Fax: (845) 357-5777
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 25MA08046800 (NJ)
Anesthesiology Physician Taxonomy 207L00000X · Licence 238812 (NY)

Record details

NPI number1164605663
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 7, 2007
Last updated in NPPESJune 18, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice St Marys General Medical Group Pc — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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