Shanthi Reddy

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MA72713 Issued in NJ

Practice address

16 Ethel Rd
Edison, NJ 08817-2249

Phone

(732) 248-0088

NPI assigned

Feb 23, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• American Current Care of New Jersey, P.a.

  • Urgent Care Clinic/Center
  • Addison, TX
  • NPI 1609044999

  NJ

  Medicare reassignment
• American Current Care of New Jersey PA

  • Urgent Care Clinic/Center
  • Parsippany, NJ
  • NPI 1497183636
  NPD
• Caledonian Health Center

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1184657355
  NPD (past)
• TBHC Medical Services PC

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1508959743
  NPD (past)

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

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266883200000",
    "number": "1194047860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 ETHEL RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 ETHEL RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172249",
            "telephone_number": "732-248-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "SHANTHI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-23",
        "last_updated": "2010-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA72713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bhavana Rebba, M.D.
• Jose Bullecer Rebustes III, MSN, APN, PMHNP-BC
• Reconstructive Orthopedics of Central NJ LLC
• Anish Reddy, DPT
• Namrata Polam Reddy, M.D.
• Eliana Redlich, LCSW
• Austin S. Rednor, D.M.D.
• Kristie Reed
• Stephanie Reed, LAMFT
• Regalcare Management Group

• Family Medicine Physician in Edison, NJ
• Providers in Edison, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; 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.

Verify at the official NPI Registry.