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PADMAVATHI JONNALAGADDAMDPA NPI 1821096504


NPI Information

NPI: 1821096504
Provider Name: PADMAVATHI JONNALAGADDA,MDPA
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
3438 JOHN F KENNEDY BLVD
JERSEY CITY, NJ
ZIP 07307
Phone: (201) 420-0366
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PADMAVATHI JONNALAGADDA,MDPA is an internal medicine in Jersey City, NJ. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. PADMAVATHI JONNALAGADDA,MDPA NPI is 1821096504. The provider is registered as an organization entity type and is a multiple single specialty group.

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 provider's authorized official is Padmavathi Jonnalagadda .
The authorized official title is President and has the following contact phone number (201) 420-0366.

The enumeration date for this NPI number is 7/7/2005 and was last updated on 1/25/2012.


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 MedicineNephrology25MA06324000NEW JERSEYNo
2207R00000XInternal Medicine25MA07442900NEW 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
10036536MEDICAIDNEW JERSEY
2077061MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY
3DB2462OTHERNEW JERSEYRAILROAD MEDICARE GROUP #

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

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