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Balaji Sutharsanam, M.D. — NPI 1225486905, Hackensack, NJ | NPI Central

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NPI 1225486905

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Balaji Sutharsanam, M.D.

NPI 1225486905 · Neonatal-Perinatal Medicine Physician · Hackensack, NJ

Provider details

NPI number: 1225486905
Entity type: Individual
Primary specialty: Neonatal-Perinatal Medicine PhysicianAllopathic & Osteopathic Physicians
Credential: M.D.
Sex: Male
Sole proprietor: No
License: S94800710005902 (NJ)

Specialties & taxonomies

Neonatal-Perinatal Medicine PhysicianPrimary2080N0001XLicense 25MA10631300 (NJ)
Allopathic & Osteopathic Physicians
Student in an Organized Health Care Education/Training Program390200000XLicense S94800710005902 (NJ)
Student, Health Care

Practice location

30 Prospect Ave

Hackensack, NJ 07601-1915

Phone: (551) 996-2000

Approximate (ZIP-level) locationGet directions

More NJ providers

Mailing address

60 Village Rd

Kendall Park, NJ 08824-1546

Additional practice locations (1)

185 S Orange Ave
Room F-540
Newark, NJ 07103-2757
Phone: (908) 616-3097

Registry dates

Enumerated: 2016-06-02
Last updated: 2019-09-03

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.