Organization Active NPI

Srinivasa R. Movva, M.D.PC

  • Internal Medicine Physician
  • Atlantic Highlands, NJ
National Provider Identifier
1114140365
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA06591900 Issued in NJ
Legal business name
SRINIVASA R. MOVVA, M.D.PC
Practice address
37 E Washington Ave
Atlantic Highlands, NJ 07716-1327
Phone
(732) 291-3430
Fax
(732) 291-5659
NPI assigned
Apr 10, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Patricia Adams
Title
Office Manager
Phone
(732) 291-3430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA06591900 NJ Primary

Addresses

Primary practice location

37 E Washington Ave
Atlantic Highlands, NJ 07716-1327

Mailing address

37 E Washington Ave
Atlantic Highlands, NJ 07716-1327
Phone (732) 291-3430

Other identifiers 1

IdentifierTypeStateIssuer
7704305MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041206000289 NJ Part B Supplier - Clinic/Group Practice 5991761553 Receives reassigned benefits from 2 practitioners
Practice locations: Atlantic Highlands, NJ

National Provider Directory

National Provider Directory

Locations

1041 Highway 36
Ste 300
Atlantic Hlds, NJ 07716
Phone (732) 291-3430

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114140365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 E WASHINGTON AVE",
            "city": "ATLANTIC HIGHLANDS",
            "state": "NJ",
            "postal_code": "077161327",
            "telephone_number": "732-291-3430",
            "fax_number": "732-291-5659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 E WASHINGTON AVE",
            "city": "ATLANTIC HIGHLANDS",
            "state": "NJ",
            "postal_code": "077161327",
            "telephone_number": "732-291-3430",
            "fax_number": "732-291-5659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRINIVASA R. MOVVA, M.D.PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "732-291-3430"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA06591900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704305",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic Highlands, NJ

Sources for this page

  • 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.