Juluru P. Rao, M.D., P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA02642700 Issued in NJ

Legal business name

JULURU P. RAO, M.D., P.A.

Practice address

1039 Avenue C
Bayonne, NJ 07002-3217

Phone

(201) 858-3811

Fax

(201) 858-2879

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Juluru P. Rao, M.D.NPI 1831270990

Title

M.D. P.a.

Phone

(201) 858-3811

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Juluru P. Rao, M.D.

  • Orthopaedic Surgery Physician
  • Bayonne, NJ
  • NPI 1831270990
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104941384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1039 AVE C",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "07002",
            "telephone_number": "201-858-3811",
            "fax_number": "201-858-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 AVENUE C",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023217",
            "telephone_number": "201-858-3811",
            "fax_number": "201-858-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULURU P. RAO, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "JULURU",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "M.D. P.A.",
        "authorized_official_telephone_number": "201-858-3811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA02642700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3473104",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.