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DR. SUDHA BANSAL MD NPI 1487602686


NPI Information

NPI: 1487602686
Provider Name: DR. SUDHA BANSAL, MD
Classification: Internal Medicine - 207R00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
218A SUNSET RD
LOURDES MEDICAL CENTER BURLINGTON COUNTY
WILLINGBORO, NJ
ZIP 08046
Phone: (609) 835-3056
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DR. Sudha Bansal, MD is an internal medicine in Willingboro, NJ with 37 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Sudha Bansal, MD NPI is 1487602686. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

218A SUNSET RD
LOURDES MEDICAL CENTER BURLINGTON COUNTY
WILLINGBORO, NJ
ZIP 08046-110
Phone: (609) 835-3056
Fax: (609) 835-3061

The NPI 1487602686 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/4/2006 and was last updated on 12/8/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine25MA06499700NEW JERSEYYes
2207R00000XInternal MedicineMD059329LPENNSYLVANIANo
3208M00000XHospitalist25MA06499700NEW JERSEYNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
130059865OTHERPENNSYLVANIAKEYSTONE MERCY-LOWER BUCKS GROUP
2P00765936OTHERPENNSYLVANIARR MEDICARE
30106861MEDICAIDNEW JERSEY
4104022C04MEDICARE PINNEW JERSEY
5095968ZDKTMEDICARE PINPENNSYLVANIA
6P00795381OTHERPENNSYLVANIARR MEDICARE - LOWER BUCKS
7095968ZCHMMEDICARE PINPENNSYLVANIA
830061308OTHERPENNSYLVANIAKEYSTONE MERCY
91014215290004MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.