Trishla Reddy Kanthala, D.O.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

25MB10244400 Issued in NJ

Practice address

1692 Oak Tree Rd
Edison, NJ 08820-2853

Phone

(732) 692-0542

NPI assigned

Mar 29, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1124361944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 INDEPENDENCE DR",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201616",
            "telephone_number": "732-692-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1692 OAK TREE RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202853",
            "telephone_number": "732-692-0542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 Hempstead Tpke",
            "address_purpose": "LOCATION",
            "city": "East Meadow",
            "state": "NY",
            "postal_code": "115541859",
            "country_code": "US",
            "telephone_number": "516-572-0159",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 Bath Pike Ste 400",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180172486",
            "country_code": "US",
            "telephone_number": "610-954-9400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANTHALA",
        "first_name": "TRISHLA",
        "middle_name": "REDDY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "OS018881",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MB10244400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103343083-0002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103343083-0001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BC/AMERIHEALTH",
            "identifier": "1124361944",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK CHOICE/PREMIER BS/MEDICARE ADVANTAGE",
            "identifier": "003625574",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "588234J67",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christiana Kang, DPT
• Dong Kang, PHARM.D
• Paul J Kang, MD
• Pooja Kansagra
• Monica Kansal
• Jayesh Gajendrabhai Kanuga, M.D. FACAAI, FACA
• Anuj Kapadia, DMD
• Elmira Kapchits, MD
• Bina Kapila, M.D
• Marni Ilana Kaplan Broder, DPM

• Physical Medicine & Rehabilitation Physician in Edison, NJ
• Providers in Edison, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.