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SRINIVAS PAVULURI M.D. NPI 1255360020


NPI Information

NPI: 1255360020
Provider Name: SRINIVAS PAVULURI, M.D.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Organization: SRINIVAS PAVULURI MD PA

PECOS Registration: Yes

Address:
668 N BEERS ST
SUITE 101
HOLMDEL, NJ
ZIP 07733
Phone: (732) 264-4301
Get Directions

Srinivas Pavuluri, M.D. is a neurology psychiatry neurology in Holmdel, NJ with 36 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Srinivas Pavuluri, M.D. NPI is 1255360020. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

668 N BEERS ST
SUITE 101
HOLMDEL, NJ
ZIP 07733-526
Phone: (732) 264-4301
Fax: (732) 264-1102

The NPI 1255360020 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 7/2/2006 and was last updated on 7/9/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurology25MA07341500NEW JERSEYYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18779805MEDICAIDNEW JERSEY
2H32880MEDICARE UPINNEW JERSEY
3056224U33MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEYMEDICARE ID#

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: 11/14/2023

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.