Devineni R Prasad MD PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA03254600 Issued in NJ

Legal business name

DEVINENI R PRASAD MD PA

Practice address

777 S White Horse Pike
Suite E1
Hammonton, NJ 08037-2029

Phone

(609) 567-0608

Fax

(609) 567-1295

NPI assigned

Jul 15, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Devineni Prasad, M.D.

Title

Pediatric Physician/Owner

Phone

(609) 567-0608

Specialties & licenses 1

Addresses

Other identifiers 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adel Muhammad Amer, M.D

  • Neurology with Special Qualifications in Child Neurology Physician
  • Sicklerville, NJ
  • NPI 1609953439
  NPD (past)
• Anne L N Kumari, MD PHD

  • General Practice Physician
  • Hammonton, NJ
  • NPI 1235205949
  NPD (past)
• Caroline Lally, APN

  • Pediatric Nurse Practitioner
  • Hammonton, NJ
  • NPI 1336600063
  NPD (past)
• Dominic Chionglo Sia, M.D.

  • Pediatrics Physician
  • Hammonton, NJ
  • NPI 1720362635

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1154585545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 S WHITE HORSE PIKE",
            "address_2": "SUITE E",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080372029",
            "telephone_number": "609-567-0608",
            "fax_number": "609-567-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 S WHITE HORSE PIKE",
            "address_2": "SUITE E1",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080372029",
            "telephone_number": "609-567-0608",
            "fax_number": "609-567-1295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVINENI R PRASAD MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-15",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "PRASAD",
        "authorized_official_first_name": "DEVINENI",
        "authorized_official_title_or_position": "PEDIATRIC PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "609-567-0608",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA03254600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HORIZON",
            "identifier": "1047520",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2929201",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dominick Dephilippis, PH.D.
• Maura Desmond, MSW LSW
• Jonathan Peter Destasio, PHARMD
• Gerald Detata, MD
• Thomas Devenny Jr.
• Diabetes & Endocrinology Associates of South Jersey
• Diabetes & Endocrinology Associates of South Jersey PC
• Kathleen Diblin, MS, CCC-SLP
• Dara Digerolamo, BCBA
• Gabriella Digirolamo, L.AC.

• All providers in Hammonton, NJ
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.