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

MS. Mary Sujana Kantharaj, RPA-C

Individual provider Medical Physician Assistant · NPI 1417947631

MS. Mary Sujana Kantharaj, RPA-C is a Medical Physician Assistant in Johnson City, New York. Licensed in New York. Registered with an NPI since 2005.

Licensed in
NY
In the registry since
2005
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

15 Riverside Dr
Johnson City, NY 13790-2742
Phone: (607) 770-9050
Fax: (607) 770-9091
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 009664 (NY)

Record details

NPI number1417947631
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedOctober 27, 2005
Last updated in NPPESJuly 13, 2026

Other providers in Johnson City