| Padmavathi Jonnalagadda,mdpa | |
|
3438 John F Kennedy Blvd Jersey City NJ 07307-4166 | |
| (201) 420-0366 | |
| (201) 420-6422 |
| Full Name | Padmavathi Jonnalagadda,mdpa |
|---|---|
| Speciality | Internal Medicine |
| Location | 3438 John F Kennedy Blvd, Jersey City, New Jersey |
| Authorized Official Name and Position | Padmavathi Jonnalagadda (PRESIDENT) |
| Authorized Official Contact | 2014200366 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Padmavathi Jonnalagadda,mdpa 3438 John F Kennedy Blvd Jersey City NJ 07307-4166 Ph: (201) 420-0366 | Padmavathi Jonnalagadda,mdpa 3438 John F Kennedy Blvd Jersey City NJ 07307-4166 Ph: (201) 420-0366 |
| NPI Number | 1821096504 |
|---|---|
| Provider Enumeration Date | 07/07/2005 |
| Last Update Date | 01/25/2012 |
| Medicare PECOS PAC ID | 9234126228 |
|---|---|
| Medicare Enrollment ID | O20040430000056 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821096504 | NPI | - | NPPES |
| DB2462 | Other | NJ | RAILROAD MEDICARE GROUP # |
| 0036536 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA07442900 (New Jersey) | Primary |
| 207RN0300X | Internal Medicine - Nephrology | 25MA06324000 (New Jersey) | Secondary |
| Provider Name | Vasudevarao Jonnalagadda |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1669470308 PECOS PAC ID: 1456349919 Enrollment ID: I20040504000150 |
| Provider Name | Padmavathi Jonnalagadda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144228891 PECOS PAC ID: 0941297931 Enrollment ID: I20040504000312 |
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