Rao S. Mikkilineni MD, LLC

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

License

MA51744 Issued in NJ

Legal business name

RAO S. MIKKILINENI MD, LLC

Practice address

391 Martinsville Rd
Basking Ridge, NJ 07920-2713

Phone

(908) 625-6938

Fax

(973) 597-1076

NPI assigned

Jun 24, 2009

Organization subpart

No

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

Authorized official

Name

Rao S Mikkilineni, MD

Title

Authorized Official

Phone

(973) 202-6120

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587513600000",
    "number": "1124256623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 MARTINSVILLE RD",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079202713",
            "telephone_number": "908-625-6938",
            "fax_number": "973-597-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 MARTINSVILLE RD",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079202713",
            "telephone_number": "908-625-6938",
            "fax_number": "973-597-1076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "377 Jersey Ave",
            "address_2": "Suite 470",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073024393",
            "country_code": "US",
            "telephone_number": "201-918-2293",
            "fax_number": "201-918-2243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RAO S. MIKKILINENI MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-24",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A",
        "authorized_official_last_name": "MIKKILINENI",
        "authorized_official_first_name": "RAO",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "973-202-6120",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NJ",
            "license": "MA51744",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "MA51744",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daina Raiffe, MA, LPC
• Bhagya Ramachandra, MS., RD., LD.
• Ramanda Corp LLC
• Priya Ramaswamy, MS
• Lenny Ramirez, DPM
• Omid Rashidbaigi, DO
• William J Ratz, D.M.D.
• Eden Renee Rauch, M.D.
• Rehab Therapists
• Hallie Reifsnyder, APN

• Critical Care Medicine (Internal Medicine) Physician in Basking Ridge, NJ
• Providers in Basking Ridge, NJ by specialty
• Critical Care Medicine (Internal Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.