Individual provider Active NPI

Sneha Kanduri Hanumantharayudu, MD

  • Student in an Organized Health Care Education/Training Program
  • Toms River, NJ
National Provider Identifier
1205722774
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
99 Highway 37 W
Toms River, NJ 08755-6423
Phone
(732) 557-2110
NPI assigned
Jun 13, 2025
Last updated
Jul 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NJ Primary

Addresses

Primary practice location

99 Highway 37 W
Toms River, NJ 08755-6423

Mailing address

99 Highway 37 W
Toms River, NJ 08755-6423
Phone (732) 557-2110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20250619000227 NY Practitioner - Internal Medicine 3779094370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mill Basin Medical Health PCGroup PAC ID 9133566128, 104 clinicians

Practice addresses (Care Compare)

330 Chestnut St
Oneonta, NY 13820-1212
Phone (646) 296-1508

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P135697NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mill Basin Medical Health PC Internal Medicine CurrentSince Jun 16, 2025 Accepting new patients
Ornc LLC Past Accepting new patients

Locations

257 State St
Batavia, NY 14020
Phone (585) 343-1300

1583 E 66th St
#1
Brooklyn, NY 11234
Phone (917) 318-4724

48 Frost Ln
Unit A
Lawrence, NY 11559
Phone (516) 587-9960

330 Chestnut St
Oneonta, NY 13820
Phone (607) 432-8500

14310 20th Ave
Whitestone, NY 11357
Phone (718) 961-1212

Organizations & group practices 2

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": "1749772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1205722774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 HIGHWAY 37 W",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556423",
            "telephone_number": "732-557-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 HIGHWAY 37 W",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556423",
            "telephone_number": "732-557-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANDURI HANUMANTHARAYUDU",
        "first_name": "SNEHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-13",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.