Individual provider Active NPI

Likhitha Musunuru, MD

  • Family Medicine Physician
  • Woodbury, NJ
National Provider Identifier
1063916880
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA10930900 Issued in NJ
Practice address
75 W Red Bank Ave
Woodbury, NJ 08096-1694
Phone
(856) 853-2056
Fax
(856) 686-5218
NPI assigned
Mar 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA10930900 NJ Primary

Addresses

Primary practice location

75 W Red Bank Ave
Woodbury, NJ 08096-1694

Mailing address

75 W Red Bank Ave
Woodbury, NJ 08096-1694
Phone (856) 853-2056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, OH, SC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210617002217 NJ Practitioner - Family Practice 7416296074 Reassigns benefits to 3 organizations
I20250207003304 OH Practitioner - Family Practice 7416296074 Reassigns benefits to 1 organization
I20260312002653 SC Practitioner - Family Practice 7416296074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians
The Metrohealth SystemGroup PAC ID 8628982949, 1,150 clinicians

Practice addresses (Care Compare)

169 Ashley Ave
Charleston, SC 29425-8905

2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (216) 778-7800

506 N St
Bamberg, SC 29003-1319
Phone (803) 245-6290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA10930900NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System Current Accepting new patients
Harmony Medical Services of New Jersey LLC Family Medicine CurrentSince Jul 27, 2025 Accepting new patients
The Metrohealth System CurrentSince Jan 28, 2025 Accepting new patients
Rwjbh Primary Care Services Family Medicine CurrentSince Sep 7, 2021 Accepting new patients
The Metrohealth System Family Medicine CurrentSince Jan 28, 2025 Accepting new patients
Musc Community Physicians CurrentSince Aug 25, 2025 Accepting new patients
Musc Community Physicians CurrentSince Aug 25, 2025 Accepting new patients
Harmony Medical Services of New Jersey LLC Family Medicine CurrentSince Jul 27, 2025 Accepting new patients
Inspira Health Network Medical Group, P.C. Past Accepting new patients

Locations

28 Valley Rd
Montclair, NJ 07042
Phone (908) 451-8519

25 Kilmer Dr
Ste 107
Morganville, NJ 07751
Phone (732) 385-5262

1 Riverfront Plz
Ste 300
Newark, NJ 07102
Phone (201) 273-7047

17 Main St
Ste 103
Robbinsville, NJ 08691
Phone (609) 392-6366

3100 Quakerbridge Rd
Ste 28
Trenton, NJ 08619
Phone (609) 245-7430

8 Mountain Blvd
Ste J
Warren, NJ 07059
Phone (732) 893-0200

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

Interoperability endpoints

  • Direct secure messaging: lmusunuru301326@direct.metrohealth.org

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1063916880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 W RED BANK AVE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961694",
            "telephone_number": "856-853-2056",
            "fax_number": "856-686-5218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 W RED BANK AVE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961694",
            "telephone_number": "856-853-2056",
            "fax_number": "856-686-5218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSUNURU",
        "first_name": "LIKHITHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-19",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA10930900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NJ

Sources for this page

Verify at the official NPI Registry.