Lisa Thottumari, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA12812800 Issued in NJ

Practice address

575 Route 28
Raritan, NJ 08869-1354

Phone

(908) 725-1802

Fax

(908) 203-8825

NPI assigned

Mar 28, 2022

Last updated

Sep 16, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Somerset Pediatric Group, LLC

  • Pediatrics Physician
  • Raritan, NJ
  • NPI 1306922992
  NPD (past)

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1215687470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 ROUTE 28",
            "city": "RARITAN",
            "state": "NJ",
            "postal_code": "088691354",
            "telephone_number": "908-725-1802",
            "fax_number": "908-203-8825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 ROUTE 28",
            "city": "RARITAN",
            "state": "NJ",
            "postal_code": "088691354",
            "telephone_number": "908-725-1802",
            "fax_number": "908-203-8825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOTTUMARI",
        "first_name": "LISA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-28",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA12812800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prospero A Tayco, P.T.
• Craig L Tendler, M.D.
• Tension and Trauma Relief, LLC
• The Institute for Family & Adolescent SVCS Inc
• Michela Thorn, PA-C
• Mary B Todd
• Richard J. Trenery, DPT CERT MDT
• Uplift Counseling & Wellness LLP
• Kathryn M Vaccaro, RN MSN MA APN-BC
• Rama G Varatkar, MSPT

• Pediatrics Physician in Raritan, NJ
• Providers in Raritan, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.