Active NPI
Padmaja Annamaneni, MD
- Psychiatry Physician
- Perth Amboy, NJ
National Provider Identifier
1205914520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 25MA07314500
- Practice address
- 570 Lee Street
Raritan Bay Mental Health Center
Perth Amboy, NJ 08861-3053 - Phone
- (732) 442-1666
- Fax
- (732) 442-9512
- NPI assigned
- Nov 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 25MA07314500 | NJ | Primary |
Addresses
Primary practice location
570 Lee Street
Raritan Bay Mental Health Center
Perth Amboy, NJ 08861-3053
Mailing address
570 Lee Street
Raritan Bay Mental Health Center
Perth Amboy, NJ 08861-3053
Phone (732) 442-1666
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
570 Lee St
Perth Amboy, NJ 08861-3053
Phone (732) 442-1666
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Middlesex | Current | Accepting new patients | |
| County of Middlesex | Current | Accepting new patients | |
| Corby Pharma Inc | Past | Accepting new patients | |
| Lumit RX Inc | Past | Accepting new patients | |
| Neurorehab Institute LLC | Past | Accepting new patients | |
| Upper Manhattan Pharma Inc | Past | Accepting new patients | |
| Rutgers Health-RWJ Scleroderma Program | Psychiatry | Past | Accepting new patients |
| Jolin RX Inc. | Past | Accepting new patients | |
| Gerald Tramontano Senior Care Residential and Community Program | Past | Accepting new patients | |
| Rutgers Health - Behavioral Health | Psychiatry | Past | Accepting new patients |
| Rutgers Health - Behavioral Health | Psychiatry | Past | Accepting new patients |
| 115 Irving Ave Pharmacy Inc | Past | Accepting new patients |
Locations
570 Lee St
Perth Amboy, NJ 08861
Phone (732) 442-1666
Organizations & group practices 12
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Perth Amboy, NJ
- NPI 1437245800
-
- Public Health or Welfare Agency
- East Brunswick, NJ
- NPI 1023148178
-
- Mental Illness Community Based Residential Treatment Facility
- Mount Arlington, NJ
- NPI 1396894416
-
- Clinical Psychologist
- Mt Arlington, NJ
- NPI 1457539595
-
- Psychiatry Physician
- Piscataway, NJ
- NPI 1144267337
-
- Psychiatry Physician
- Cherry Hill, NJ
- NPI 1891956298
-
- Psychiatry Physician
- Piscataway, NJ
- NPI 1033207378
-
- Community/Retail Pharmacy
- Brooklyn, NY
- NPI 1932265642
-
- Community/Retail Pharmacy
- New York, NY
- NPI 1205165842
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1679677132
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1891899431
-
- Community/Retail Pharmacy
- New York, NY
- NPI 1699138503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332892800000",
"number": "1205914520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "570 LEE STREET",
"address_2": "RARITAN BAY MENTAL HEALTH CENTER",
"city": "PERTH AMBOY",
"state": "NJ",
"postal_code": "088613053",
"telephone_number": "732-442-1666",
"fax_number": "732-442-9512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "570 LEE STREET",
"address_2": "RARITAN BAY MENTAL HEALTH CENTER",
"city": "PERTH AMBOY",
"state": "NJ",
"postal_code": "088613053",
"telephone_number": "732-442-1666",
"fax_number": "732-442-9512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANNAMANENI",
"first_name": "PADMAJA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2012-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "25MA07314500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Perth Amboy, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.