Active NPI
Balaji Duddukuru
- Pharmacist
- East Brunswick, NJ
National Provider Identifier
1154621779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 055298
- Practice address
- 6 Plum Tree CT
East Brunswick, NJ 08816-5241 - Phone
- (917) 754-9467
- NPI assigned
- Oct 29, 2010
- Last updated
- Apr 15, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP444523 | PA | |
| Pharmacist | 183500000X | 28RI03355800 | NJ | |
| Pharmacist | 183500000X | 055298 | NY | Primary |
Addresses
Primary practice location
6 Plum Tree CT
East Brunswick, NJ 08816-5241
Mailing address
6 Plum Tree CT
East Brunswick, NJ 08816-5241
Phone (917) 754-9467
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03355800 | NJ | MD | Pharmacist |
| 055298 | NY | MD | Pharmacist |
| RP444523 | PA | MD | Pharmacist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744675200000",
"number": "1154621779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 PLUM TREE CT",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088165241",
"telephone_number": "917-754-9467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 PLUM TREE CT",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088165241",
"telephone_number": "917-754-9467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUDDUKURU",
"first_name": "BALAJI",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-29",
"last_updated": "2025-04-15",
"certification_date": "2025-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP444523",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03355800",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "055298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Brunswick, NJ
- Dr. Lynn Motasis
- Drug Stores II LLC (INNOVO Specialty Compounding Solutions)
- Drug Stores II, LLC (Health Shoppe Pharmacy)
- DSP Physicians LLC
- Changmin Duan, O.D.
- Stephanie Duke, MD
- Ashley Veronica Dwyer, MA, LAC, NCC
- Steven Ira Dyckman, MD
- East Brunswick Anesthesia Associates
- East Brunswick Dental & Specialty Group, LLC (Brighter Dental Care (East Brunswick))
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.