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VASUDEVARAO JONNALAGADDA MD NPI 1669470308


NPI Information

NPI: 1669470308
Provider Name: VASUDEVARAO JONNALAGADDA, MD
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

Organization: PADMAVATHI JONNALAGADDA MD PA

PECOS Registration: Yes

Address:
3438 JOHN F KENNEDY BLVD
JERSEY CITY, NJ
ZIP 07307
Phone: (201) 420-0366
Get Directions

Vasudevarao Jonnalagadda, MD is a nephrology internal medicine in Jersey City, NJ with 35 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Vasudevarao Jonnalagadda, MD NPI is 1669470308. 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:

3438 JOHN F KENNEDY BLVD
JERSEY CITY, NJ
ZIP 07307-166
Phone: (201) 420-0366
Fax: (201) 420-6422

The NPI 1669470308 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Dialysis services (4 or more physician visits per month), patient 20 years of age and older (HCPCS:90960)
  • Hemodialysis procedure with one physician evaluation (HCPCS:90935)
  • Dialysis services (2-3 physician visits per month), patient 20 years of age and older (HCPCS:90961)

The enumeration date for this NPI number is 7/7/2005 and was last updated on 8/20/2015.


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
1207RN0300XInternal MedicineNephrology199878-1NEW YORKNo
2207RN0300XInternal MedicineNephrology25MA06324000NEW 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
1901398 SJ1MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEYINDIVIDUAL NUMBER
20036536MEDICAIDNEW JERSEY
3G56576MEDICARE UPINNEW JERSEY
47378106MEDICAIDNEW JERSEY
5DB2462OTHERNEW JERSEYRAILROAD MEDICARE GROUP #
6043714808OTHERNEW JERSEYHORIZON B/C B/S
7077061MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEYMEDICARE GROUP NUMBER
8P00094722OTHERNEW JERSEYRAILROAD MEDICARE
901918538MEDICAIDNEW YORK

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.