Organization Active NPI

Kuchipudi Bapineedu, MD PA

  • Surgery Physician
  • Fair Lawn, NJ
National Provider Identifier
1114167202
Registry record updated May 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MA34591 Issued in NJ
Legal business name
KUCHIPUDI BAPINEEDU, MD PA
Practice address
15-01 Broadway
Ste. #22
Fair Lawn, NJ 07410-6003
Phone
(201) 796-4848
Fax
(201) 797-7992
NPI assigned
Mar 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2010

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

Authorized official

Name
Dr. Bapineedu Kuchipudi, M.D.
Title
Sole Propieter
Phone
(201) 796-4848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X MA34591 NJ Primary

Addresses

Primary practice location

15-01 Broadway
Ste. #22
Fair Lawn, NJ 07410-6003

Mailing address

15-01 Broadway
Ste. #22
Fair Lawn, NJ 07410-6003
Phone (201) 796-4848

Other identifiers 1

IdentifierTypeStateIssuer
3723500MedicaidNJ

National Provider Directory

National Provider Directory

Locations

15-01 Broadway
Ste 22
Fair Lawn, NJ 07410
Phone (201) 773-4200

NPI Registry JSON

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273708800000",
    "number": "1114167202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15-01 BROADWAY",
            "address_2": "STE. #22",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074106003",
            "telephone_number": "201-796-4848",
            "fax_number": "201-797-7992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15-01 BROADWAY",
            "address_2": "STE. #22",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074106003",
            "telephone_number": "201-796-4848",
            "fax_number": "201-797-7992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUCHIPUDI BAPINEEDU, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-02",
        "last_updated": "2010-05-13",
        "status": "A",
        "authorized_official_last_name": "KUCHIPUDI",
        "authorized_official_first_name": "BAPINEEDU",
        "authorized_official_title_or_position": "SOLE PROPIETER",
        "authorized_official_telephone_number": "201-796-4848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NJ",
            "license": "MA34591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3723500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.