Individual provider Active NPI

Lavanya Kamineni, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Plainsboro, NJ
National Provider Identifier
1104281179
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00592100 Issued in NJ
Practice address
157 Tennyson Dr
Plainsboro, NJ 08536-3033
Phone
(732) 282-0719
Fax
(732) 282-9069
NPI assigned
Dec 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00592100 NJ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00592100 NJ Primary

Addresses

Primary practice location

157 Tennyson Dr
Plainsboro, NJ 08536-3033

Mailing address

157 Tennyson Dr
Plainsboro, NJ 08536-3033
Phone (732) 713-6280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160323002395 NJ Practitioner - Nurse Practitioner 7113224825 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Physician Associates of New Jersey IncGroup PAC ID 9830003417, 374 clinicians

Practice addresses (Care Compare)

183 S Orange Ave
Newark, NJ 07103-2757
Phone (973) 972-2977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00592100NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Oct 9, 2023 Accepting new patients
Princeton Healthcare Affiliated Physicians PC CurrentSince Apr 30, 2018 Accepting new patients
Princeton Healthcare Affiliated Physicians PC Psychiatric/Mental Health Current Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Oct 9, 2023 Accepting new patients
University Physician Associates of New Jersey Inc CurrentSince Jul 8, 2024 Accepting new patients
Princeton Healthcare Affiliated Physicians PC CurrentSince Apr 30, 2018 Accepting new patients
Innovative Psychiatry LLC CurrentSince May 25, 2024 Accepting new patients
University Physician Associates of New Jersey Inc CurrentSince Jul 8, 2024 Accepting new patients
Grow Healthcare Group of New Jersey PC Psychiatric/Mental Health CurrentSince Jun 20, 2024 Accepting new patients
Dept. of Med, C/O Carl O'Brien Dba Princeton Hosp. Medical Assocs. Past Accepting new patients

Locations

401 Ridge Rd
Ste 6
Dayton, NJ 08810
Phone (732) 329-4800

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

350 Forsgate Dr
Ste 103
Monroe Twp, NJ 08831
Phone (609) 831-0779

2 Centre Dr
#200
Monroe Twp, NJ 08831
Phone (609) 395-2470

183 S Orange Ave
#1546
Newark, NJ 07103
Phone (973) 972-2977

30 Bergen St
Rm 1205
Newark, NJ 07107
Phone (973) 972-0037

5 Plainsboro Rd
Ste 300
Plainsboro, NJ 08536

1 Washington Blvd
Ste A
Trenton, NJ 08691
Phone (609) 448-4353

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

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": "1450310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1104281179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 TENNYSON DR",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085363033",
            "telephone_number": "732-713-6280",
            "fax_number": "866-892-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 TENNYSON DR",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085363033",
            "telephone_number": "732-282-0719",
            "fax_number": "732-282-9069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMINENI",
        "first_name": "LAVANYA",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-17",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00592100",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00592100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainsboro, NJ

Sources for this page

Verify at the official NPI Registry.