NPIMap

Organization Active NPI

Loka Narayan Reddy MD PA

Doing business as Image Plastic Surgery Center

  • Surgery of the Hand (Plastic Surgery) Physician
  • Union City, NJ
National Provider Identifier
1174763080
Registry record updated Mar 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X
License
25MA02708700 Issued in NJ
Legal business name
LOKA NARAYAN REDDY MD PA
Doing business as
Image Plastic Surgery Center
Practice address
1400 Kennedy Blvd
Union City, NJ 07087-1932
Phone
(201) 330-9595
NPI assigned
Mar 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2009

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

Authorized official

Name
Loka N Reddy, MD PANPI 1619995115
Title
Owner
Phone
(201) 330-9595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Plastic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2082S0105X 25MA02708700 NJ Primary

Addresses

Primary practice location

1400 Kennedy Blvd
Union City, NJ 07087-1932

Mailing address

1400 Kennedy Blvd
Union City, NJ 07087-1932
Phone (201) 330-9595

Other names 1

  • IMAGE PLASTIC SURGERY CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

1400 Kennedy Blvd
Union City, NJ 07087
Phone (201) 330-9595

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236211200000",
    "number": "1174763080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 KENNEDY BLVD",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070871932",
            "telephone_number": "201-330-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 KENNEDY BLVD",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070871932",
            "telephone_number": "201-330-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOKA NARAYAN REDDY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-05",
        "last_updated": "2009-03-05",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "LOKA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-330-9595",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "NJ",
            "license": "25MA02708700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IMAGE PLASTIC SURGERY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Union City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; 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.