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

Individual provider Neonatal-Perinatal Medicine Physician · NPI 1235135880

Dr. Surasak Puvabanditsin, MD is a Pediatric Medicine in New Brunswick, New Jersey. Qualified in 1977, 49 years ago. Practices with Rutgers Health-Rwj Pediatric Critical Care, a 152-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
49
Licensed in
NJ
In the registry since
2005
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

1 Robert Wood Johnson Pl Meb 396
New Brunswick, NJ 08901-1928
Phone: (732) 235-5691
Fax: (732) 235-5668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neonatal-Perinatal Medicine Physician (primary) Taxonomy 2080N0001X · Licence 25MA04160100 (NJ)
Pediatrics Physician Taxonomy 208000000X · Licence 25MA04160100 (NJ)

Record details

NPI number1235135880
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 28, 2005
Last updated in NPPESMarch 17, 2017

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 1977 (49 years in practice)
Group practice Rutgers Health-Rwj Pediatric Critical Care — 152 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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