Individual provider Active NPI

Srinivas Mendu, M.D.

  • Internal Medicine Physician
  • Princeton, NJ
National Provider Identifier
1245235126
Registry record updated Nov 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA06750500 Issued in NJ
Practice address
10 Jefferson PLZ
Ste. 100
Princeton, NJ 08540-9542
Phone
(732) 274-1274
Fax
(732) 355-0321
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA06750500 NJ Primary

Addresses

Primary practice location

10 Jefferson PLZ
Ste. 100
Princeton, NJ 08540-9542

Mailing address

10 Jefferson PLZ
Ste. 100
Princeton, NJ 08540-9542
Phone (732) 274-1274

Other identifiers 1

IdentifierTypeStateIssuer
7774605MedicaidNJ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081223000242 NJ Practitioner - Internal Medicine 4082776265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advocare, LLCGroup PAC ID 3678562188, 383 clinicians

Practice addresses (Care Compare)

132 Grove St
Suite a
Haddonfield, NJ 08033-1224
Phone (856) 354-2211

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06750500NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare, LLC Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
Advocare , LLC Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients

Locations

169 Mine Brook Rd
#P
Bernardsville, NJ 07924
Phone (908) 766-0034

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

25 Lindsley Dr
Ste 205
Morristown, NJ 07960
Phone (973) 993-8777

Interoperability endpoints

  • Direct secure messaging: srinivas.mendu@advocaredoctors.eclinicaldirectplus.com

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 and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354233600000",
    "number": "1245235126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 JEFFERSON PLZ",
            "address_2": "STE. 100",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085409542",
            "telephone_number": "732-274-1274",
            "fax_number": "732-355-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 JEFFERSON PLZ",
            "address_2": "STE. 100",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085409542",
            "telephone_number": "732-274-1274",
            "fax_number": "732-355-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDU",
        "first_name": "SRINIVAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2012-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06750500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7774605",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.