Active NPI
Padmavathy Kurra, MD
- Geriatric Psychiatry Physician
- Fair Lawn, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- License
- 25MA05120200
- Practice address
- 15-01 Broadway
Suite 10-B
Fair Lawn, NJ 07410-6003 - Phone
- (201) 794-7733
- Fax
- (201) 794-6039
- NPI assigned
- Aug 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 25MA05120200 | NJ | |
| Geriatric Psychiatry Physician | 2084P0805X | 25MA05120200 | NJ | Primary |
Addresses
Primary practice location
15-01 Broadway
Suite 10-B
Fair Lawn, NJ 07410-6003
Mailing address
15-01 Broadway
Suite 10-B
Fair Lawn, NJ 07410-6003
Phone (201) 794-7733
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0129208 | Medicaid | NJ |
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, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
350 Boulevard
Passaic, NJ 07055-2840
Phone (973) 366-6060
765 Route 70 E
BLDG a
Marlton, NJ 08053-2341
Phone (856) 983-3900
Hospital & facility affiliations
- Saint Clare'S Hospital/ Denville Campus
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Family Guidance, PC | Psychiatry | Current | Accepting new patients |
| Meditelecare of New Jersey LLC | Psychiatry | Current | Accepting new patients |
Locations
25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000
765 Route 70 E
Bldg A
Marlton, NJ 08053
Phone (856) 797-4721
254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453
350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300
100 Charles Ewing Blvd
Ste 160
Trenton, NJ 08628
Phone (212) 878-7685
Interoperability endpoints
- padmavathy.kurra.p1@direct.cfg.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
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.
-
- Geriatric Psychiatry Physician
- Marlton, NJ
- NPI 1508803388
-
- Internal Medicine Physician
- Mine Hill, NJ
- NPI 1568570489
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Denville, NJ
- NPI 1598144362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1205949468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15-01 BROADWAY",
"address_2": "SUITE 10-B",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074106003",
"telephone_number": "201-794-7733",
"fax_number": "201-794-6039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15-01 BROADWAY",
"address_2": "SUITE 10-B",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074106003",
"telephone_number": "201-794-7733",
"fax_number": "201-794-6039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURRA",
"first_name": "PADMAVATHY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "25MA05120200",
"primary": false
},
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "NJ",
"license": "25MA05120200",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0129208",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fair Lawn, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.