Individual ProviderShivaram CumarasamyUrologyAllopathic & Osteopathic PhysiciansPractice AddressDepartment Of Urology 1272, 1 Gustave L Place, New York, NY 10029(609) 502-5639PECOS EnrollmentBased on the most recent information from CMS, provider Shivaram Cumarasamy is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 8:45 AM.Profile DetailsProvider ID1508363359Provider TypeIndividualFull NameCumarasamy, ShivaramCredentialMDGenderMaleSole ProprietorNoEnumeration Date4/9/2018Last Updated10/31/2025Contact InformationPractice LocationPractice AddressDepartment Of Urology 1272, 1 Gustave L Place, New York, NY 10029Phone(609) 502-5639FaxUnlisted FaxMailing LocationMailing Address225 Clearfield Ave, Virginia Beach, VA 23462-1815PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208800000XPrimaryDescriptionUrologyAllopathic & Osteopathic PhysiciansLicense0101286959Virginia