Individual provider Active NPI

Sridevi Kandula, M.D.

  • Family Medicine Physician
  • Iselin, NJ
National Provider Identifier
1194942805
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA08844800 Issued in NJ
Practice address
1 Wellbrook PL FL 3
Iselin, NJ 08830-1559
Phone
(848) 308-5130
Fax
(848) 245-8931
NPI assigned
Apr 20, 2007
Last updated
Jun 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD2009-0727 NM
Family Medicine Physician 207Q00000X 25MA08844800 NJ Primary

Addresses

Primary practice location

1 Wellbrook PL FL 3
Iselin, NJ 08830-1559

Mailing address

331 Newman Springs Rd Ste 220
Red Bank, NJ 07701-5792
Phone (732) 807-0877

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20111214000609 NJ Practitioner - Family Practice 7517132848 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hackensack Meridian Health Medical Group - Primary Care PCGroup PAC ID 7911003330, 364 clinicians

Practice addresses (Care Compare)

65 James St
Lot G
Edison, NJ 08820-3947
Phone (732) 321-7487

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD2009-0727NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HMH Hospitals Corporation Family Medicine CurrentSince Mar 1, 2022 Accepting new patients
Community Hospital Group Inc Current Accepting new patients
Hackensack Meridian Health Medical Group - Primary Care PC Family Medicine CurrentSince Jan 1, 2023 Accepting new patients
Community Hospital Group, Inc. CurrentSince Oct 21, 2021 Accepting new patients
Community Hospital Group, Inc Family Medicine CurrentSince Oct 21, 2021 Accepting new patients
HMH Hospitals Corporation CurrentSince Mar 1, 2022 Accepting new patients
Meridian Medical Group - Specialty Care, PC Family Medicine Past Accepting new patients
Community Hospital Group, Inc Past Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Past Accepting new patients

Locations

985 Cedar Bridge Ave
Brick, NJ 08723
Phone (732) 477-5600

65 James St
Lot G
Edison, NJ 08820
Phone (732) 321-7487

65 James St
Edison, NJ 08820
Phone (732) 321-7010

1 Wellbrook Pl
Fl 3
Iselin, NJ 08830
Phone (732) 549-7470

1 Wellbrook Pl
Iselin, NJ 08830
Phone (732) 549-7380

3 Hospital Plz
Ste 200
Old Bridge, NJ 08857
Phone (732) 360-0287

300 Perrine Rd
Ste 324
Old Bridge, NJ 08857
Phone (732) 753-9890

331 Newman Springs Rd
Ste 220
Red Bank, NJ 07701
Phone (732) 807-0880

Interoperability endpoints

  • Direct secure messaging: sridevi.kandula@direct.hackensackmeridian.org
  • FHIR API: https://mepic.hmhn.org/fhir/api/FHIR/R4/

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1194942805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 NEWMAN SPRINGS RD STE 220",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015792",
            "telephone_number": "732-807-0877",
            "fax_number": "201-751-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WELLBROOK PL FL 3",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088301559",
            "telephone_number": "848-308-5130",
            "fax_number": "848-245-8931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANDULA",
        "first_name": "SRIDEVI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2009-0727",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA08844800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iselin, NJ

Sources for this page

Verify at the official NPI Registry.