Mary Sujana Kantharaj, RPA-C
Medical Physician Assistant · Johnson City, NY
Mary Sujana Kantharaj, RPA-C is a medical physician assistant with a practice address in Johnson City, New York, and NPI 1417947631, issued on Oct 27, 2005. Check the license (New York 009664, as entered in NPPES) with the New York board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Mary Sujana Kantharaj
- Credential
- RPA-C
- Primary taxonomy
- Medical Physician Assistant 363AM0700X
- License number
- 009664 NY
Self-reported in NPPES; status is on the state search - Practice location
- 15 Riverside Dr, Johnson City, NY 13790
- Phone
- (607) 770-9050
- Enumerated
- Oct 27, 2005
- Record last updated
- Jul 13, 2026
- Fax
- (607) 770-9091
- Medicaid ID
- 01283132 NY
- Entity
- Type 1 · individual
Also registered at 15 Riverside Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Jeffrey King, M.D.Otolaryngology Physician1992795116
- Devin Koepke, LMHCMental Health Counselor1780448118
- Tiffany Scott, LMHCCounselor1720742422
Verify Mary Sujana Kantharaj in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich New York board licenses this profession
Search for license 009664Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Medical Physician Assistant providers in New York
There are 3,670 medical physician assistant records in New York. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
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Common questions
What is Mary Sujana Kantharaj, RPA-C's NPI number?
Mary Sujana Kantharaj, RPA-C's National Provider Identifier (NPI) is 1417947631, issued on Oct 27, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Mary Sujana Kantharaj, RPA-C located?
The NPPES record lists a practice address at 15 Riverside Dr, Johnson City, NY, 13790. Phone: (607) 770-9050. Providers update this record themselves, so call before visiting.
How can I verify Mary Sujana Kantharaj, RPA-C's license?
NPPES lists New York license number 009664, as entered by the provider. Search the New York board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.