Provider Demographics
NPI:1164594354
Name:NATARAJAN, SEKAR (MD)
Entity Type:Individual
Prefix:DR
First Name:SEKAR
Middle Name:
Last Name:NATARAJAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 208
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-0208
Mailing Address - Country:US
Mailing Address - Phone:201-216-3055
Mailing Address - Fax:201-499-0261
Practice Address - Street 1:142 PALISADE AVE
Practice Address - Street 2:SUITE NUMBER 213
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-2929
Practice Address - Country:US
Practice Address - Phone:201-653-4247
Practice Address - Fax:201-426-2349
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08157500207R00000X, 207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0172278Medicaid
NJ25MA08157500OtherSTATE LICENSE
NJ0172278Medicaid