Active NPI
Latha Surapaneni
- Pharmacist
- Point Pleasant Boro, NJ
National Provider Identifier
1053513952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI02938500
- Practice address
- 3258 Bridge Ave
Point Pleasant Boro, NJ 08742-3459 - Phone
- (732) 852-7392
- NPI assigned
- Jun 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI02938500 | NJ | Primary |
Addresses
Primary practice location
3258 Bridge Ave
Point Pleasant Boro, NJ 08742-3459
Mailing address
28 Tall Oaks Dr
Monroe, NJ 08831-2417
Phone (732) 251-1887
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI02938500 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053513952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 TALL OAKS DR",
"city": "MONROE",
"state": "NJ",
"postal_code": "088312417",
"telephone_number": "732-251-1887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3258 BRIDGE AVE",
"city": "POINT PLEASANT BORO",
"state": "NJ",
"postal_code": "087423459",
"telephone_number": "732-852-7392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURAPANENI",
"first_name": "LATHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI02938500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Point Pleasant Boro, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.