Individual provider Active NPI

Ritesha S Krishnappa, M.D.

  • Psychiatry Physician
  • Florham Park, NJ
National Provider Identifier
1205023256
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA11388700 Issued in NJ
Practice address
30A Vreeland Rd Ste 304
Florham Park, NJ 07932-1904
Phone
(973) 270-9881
Fax
(973) 270-9236
NPI assigned
Oct 3, 2007
Last updated
Aug 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 266574 NY
Psychiatry Physician 2084P0800X 25MA11388700 NJ Primary

Addresses

Primary practice location

30A Vreeland Rd Ste 304
Florham Park, NJ 07932-1904

Mailing address

1200 Morris Tpke Ste 3005
Short Hills, NJ 07078-2766
Phone (312) 231-2617

Other practice location 1

1400 Pelham Pkwy S
Bronx, NY 10461-1197
Phone (718) 918-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181221001200 NY Practitioner - Psychiatry 4789863382 Reassigns benefits to 2 organizations
I20220505000024 NJ Practitioner - Psychiatry 4789863382 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Health and Hospitals Corporation CurrentSince Oct 6, 2018 Accepting new patients
Elevate Psychiatry Services, LLC Psychiatry CurrentSince Sep 1, 2024 Accepting new patients
State of New Jersey Omb Centralized Payroll CurrentSince Apr 18, 2022 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Oct 6, 2018 Accepting new patients
New York City Health and Hospitals Corporation Current Accepting new patients

Locations

59 Koch Ave
Morris Plains, NJ 07950
Phone (973) 889-4390

1200 Morris Tpke
Ste 3005
Short Hills, NJ 07078
Phone (800) 674-3221

7901 Broadway
Flushing, NY 11373
Phone (718) 334-2156

8268 164th St
Jamaica, NY 11432
Phone (718) 883-2929

50 Water St
Fl 3
New York, NY 10004

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1205023256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 MORRIS TPKE STE 3005",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070782766",
            "telephone_number": "312-231-2617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30A VREELAND RD STE 304",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321904",
            "telephone_number": "973-270-9881",
            "fax_number": "973-270-9236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Pelham Pkwy S",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104611197",
            "country_code": "US",
            "telephone_number": "718-918-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRISHNAPPA",
        "first_name": "RITESHA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-03",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "266574",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA11388700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florham Park, NJ

Sources for this page

Verify at the official NPI Registry.