Active NPI
Sindhusha Veeraballi, MD
- Student in an Organized Health Care Education/Training Program
- Newark, NJ
National Provider Identifier
1184232142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 111 Central Ave
Newark, NJ 07102-1909 - Phone
- (973) 877-5000
- NPI assigned
- Jul 16, 2020
- Last updated
- Jul 16, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | Primary |
Addresses
Primary practice location
111 Central Ave
Newark, NJ 07102-1909
Mailing address
111 Central Ave
Newark, NJ 07102-1909
Phone (973) 877-5000
Other practice location 1
100 Vail Rd Apt G28
Parsippany, NJ 07054-1329
Phone (281) 594-8124
Other practice location 2
100 Vail Rd Apt 9-28
Parsippany, NJ 07054-1302
Phone (281) 594-8124
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240201003973 | OH | Order and Referring Only - Internal Medicine | 6305299611 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594857600000",
"number": "1184232142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 CENTRAL AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071021909",
"telephone_number": "973-877-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 CENTRAL AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071021909",
"telephone_number": "973-877-5000"
}
],
"practiceLocations": [
{
"address_1": "100 Vail Rd Apt G28",
"address_purpose": "LOCATION",
"city": "Parsippany",
"state": "NJ",
"postal_code": "070541329",
"country_code": "US",
"telephone_number": "281-594-8124",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Vail Rd Apt 9-28",
"address_purpose": "LOCATION",
"city": "Parsippany",
"state": "NJ",
"postal_code": "070541302",
"country_code": "US",
"telephone_number": "281-594-8124",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VEERABALLI",
"first_name": "SINDHUSHA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-16",
"last_updated": "2020-07-16",
"certification_date": "2020-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.