Individual provider Active NPI

Shravan G Reddy, MD

  • Family Medicine Physician
  • Branchburg, NJ
National Provider Identifier
1124519087
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA11099300 Issued in NJ
Practice address
3322 U.S. 22 West
Suite Number 104
Branchburg, NJ 08876
Phone
(908) 704-0100
NPI assigned
May 25, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA11099300 NJ Primary

Addresses

Primary practice location

3322 U.S. 22 West
Suite Number 104
Branchburg, NJ 08876

Mailing address

801 Ostrum St
Bethlehem, PA 18015-1000
Phone (484) 526-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210707002788 NJ Practitioner - Family Practice 3274935655 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hackensack Meridian Urgent Care PCGroup PAC ID 2769751270, 50 clinicians
Excel Urgent Care of NJ LLCGroup PAC ID 9638396849, 21 clinicians
The Medical Group of New JerseyGroup PAC ID 4082979166, 299 clinicians

Practice addresses (Care Compare)

1 Metro Boulevard
Suite D
Clifton, NJ 07014
Phone (973) 230-6605

2624 Hwy 516
Old Bridge, NJ 08857-2306
Phone (732) 952-5000

278 Route 10 W
Succasunna, NJ 07876
Phone (862) 477-5288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA11099300NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access Medical Associates LLC Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
St. Luke'S Hospital Family Medicine Current Accepting new patients
St. Luke'S Quakertown Hospital Current Accepting new patients
St. Luke'S Warren Physician Group, PC Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
Excel Urgent Care of NJ LLC CurrentSince Aug 13, 2025 Accepting new patients
St. Luke'S Warren Physician Group, PC CurrentSince Jul 1, 2021 Accepting new patients
St. Luke'S Hosptial Family Medicine Current Accepting new patients
DRX Paramus, LLC CurrentSince Jul 1, 2023 Accepting new patients
Jersey Irish Medical Family Medicine CurrentSince Jul 1, 2023 Accepting new patients
Hackensack Meridian Urgent Care, PC CurrentSince Aug 13, 2025 Accepting new patients
St. Luke'S Warren Physician Group, PC Current Accepting new patients
The Radiology Group of New Jersey, LLC CurrentSince Nov 30, 2024 Accepting new patients
The Carbon-Schuylkill Community Hospital, Inc. Current Accepting new patients
Barnabas Health Medical Group PC PastSince Nov 17, 2024 Accepting new patients
Northern Ohio Medical Specialists, LLC PastSince Aug 13, 2025 Accepting new patients
Monmouth Digestive Health LLC PastSince Aug 17, 2020 Accepting new patients

Locations

601 W Union Ave
Bound Brook, NJ 08805
Phone (732) 469-3627

601 W Union Ave
Ste 1
Bound Brook, NJ 08805
Phone (732) 469-3627

3322 US Highway 22
#1
Branchburg, NJ 08876
Phone (908) 704-0100

1 Metro Blvd
Ste D
Clifton, NJ 07014
Phone (973) 230-6605

145 Wyckoff Rd
Ste 201
Eatontown, NJ 07724
Phone (732) 597-7333

651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161

57 US Highway 46
Ste 212
Hackettstown, NJ 07840

1 W Haledon Ave
Haledon, NJ 07508
Phone (862) 562-2090

215 Applegarth Rd
Monroe Twp, NJ 08831
Phone (848) 888-4436

175 High St
Newton, NJ 07860
Phone (973) 383-2121

222 High St
Ste 205
Newton, NJ 07860
Phone (973) 579-4060

2624 Highway 516
Old Bridge, NJ 08857
Phone (973) 671-8775

67 E Ridgewood Ave
Unit C
Paramus, NJ 07652
Phone (201) 262-2010

200 Strykers Rd
Phillipsburg, NJ 08865
Phone (908) 847-1035

755 Memorial Pkwy
Ste 300
Phillipsburg, NJ 08865
Phone (908) 454-6303

278 Route 10
Succasunna, NJ 07876
Phone (624) 775-2888

484 Temple Hill Rd
Ste 103
New Windsor, NY 12553

501 Cetronia Rd
Allentown, PA 18104
Phone (484) 426-2501

153 Brodhead Rd
Bethlehem, PA 18017
Phone (484) 526-3200

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

575 S 9th St
Ste 7
Lehighton, PA 18235
Phone (570) 645-1000

157 S West End Blvd
Quakertown, PA 18951
Phone (215) 538-4930

487 E Moorestown Rd
Wind Gap, PA 18091
Phone (484) 526-7850

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1124519087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "484-526-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 U.S. 22 WEST",
            "address_2": "SUITE NUMBER 104",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "08876",
            "telephone_number": "908-704-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "SHRAVAN",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-25",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA11099300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branchburg, NJ

Sources for this page

Verify at the official NPI Registry.