Kavitha Selvaraj, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA07568800 Issued in NJ

Practice address

350 Sparta Ave
B6B
Sparta, NJ 07871-1150

Phone

(973) 729-9122

Fax

(973) 729-3358

NPI assigned

Feb 3, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hazari Muduli, MD, LLC

  • Vascular Surgery Physician
  • Sparta, NJ
  • NPI 1558555227
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234310400000",
    "number": "1023080181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 SPARTA AVE",
            "address_2": "B6B",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711150",
            "telephone_number": "973-729-9122",
            "fax_number": "973-729-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 SPARTA AVE",
            "address_2": "B6B",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711150",
            "telephone_number": "973-729-9122",
            "fax_number": "973-729-3358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELVARAJ",
        "first_name": "KAVITHA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-03",
        "last_updated": "2009-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07568800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0023833",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Schanbacher, RN,BSN,CCM
• Christopher David Scherlacher
• David M Schreck, MD
• Nicole Sconzo, MS
• Kimberley Scudieri
• Luann Sensale
• Heather Seugling
• Kruti Navin Shah, O.D.
• Shital Shah, MD
• Benjamin Shapiro

• Internal Medicine Physician in Sparta, NJ
• Providers in Sparta, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.