SSS Physical Medicine & Rehabilitation SVCS, LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

25MA05450300 Issued in NJ

Legal business name

SSS PHYSICAL MEDICINE & REHABILITATION SVCS, LLC

Practice address

253 Witherspoon Street
University Medical Center at Princeton
Princeton, NJ 08540-3211

Phone

(609) 497-3022

Fax

(609) 964-1666

NPI assigned

Feb 13, 2008

Last updated

May 13, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vani B Andavolu, MD

Title

Director

Phone

(609) 683-3828

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Rao Hanumanth Andavolu, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Princeton, NJ
  • NPI 1104862028
  NPD (past)

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242172800000",
    "number": "1184892176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 JUSTICE CT",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085409545",
            "telephone_number": "609-683-3828",
            "fax_number": "609-964-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 WITHERSPOON STREET",
            "address_2": "UNIVERSITY MEDICAL CENTER AT PRINCETON",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085403211",
            "telephone_number": "609-497-3022",
            "fax_number": "609-964-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSS PHYSICAL MEDICINE & REHABILITATION SVCS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2009-05-13",
        "status": "A",
        "authorized_official_last_name": "ANDAVOLU",
        "authorized_official_first_name": "VANI",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "609-683-3828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA05450300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7227604",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Falk Spira, LCSW
• Michael Spirito
• Sports Physical Therapy Institute,PA (Sports Physical Therapy Institute Princeton)
• Sri Health L L C
• Geetha Srinivasan, M.D.
• Berothy St. Jour
• Reshma Stafford, PSYD
• Richard C. Staller, DDS
• Christopher Stanley
• Lorna Stanley, M.D.

• Physical Medicine & Rehabilitation Physician in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.