Individual provider Active NPI

Srinivas Pavuluri, M.D.

  • Neurology Physician
  • Hazlet, NJ
National Provider Identifier
1255360020
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
25MA07341500 Issued in NJ
Practice address
1 Bethany Rd Ste 91
Hazlet, NJ 07730-1669
Phone
(732) 264-4300
Fax
(732) 264-1102
NPI assigned
Jul 2, 2006
Last updated
Sep 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 25MA07341500 NJ Primary

Addresses

Primary practice location

1 Bethany Rd Ste 91
Hazlet, NJ 07730-1669

Mailing address

PO Box 71
Holmdel, NJ 07733-0071
Phone (732) 264-4300

Other identifiers 1

IdentifierTypeStateIssuer
1267345MedicaidNJ

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
I20040304000347 NJ Practitioner - Neurology 0244127066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1 Bethany Rd
Suite 91
Hazlet, NJ 07730-1669
Phone (732) 264-4301

205 Bridge St D
Metuchen, NJ 08840-2290
Phone (732) 264-4301

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.28 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
79.36

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Srinivas Pavuluri, MD, PA Neurology CurrentSince Dec 1, 2004 Accepting new patients
Intermed Care PC Past Accepting new patients
South Shore Magnetic Resonance Imaging Associates PC PastSince Aug 13, 2016 Accepting new patients
RS Neuro Medical, P.C. PastSince May 1, 2007 Accepting new patients

Locations

1 Bethany Rd
Ste 91
Hazlet, NJ 07730
Phone (732) 847-3662

668 N Beers St
Ste 101
Holmdel, NJ 07733
Phone (732) 264-4301

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DJEGBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/DJEGBA/Endpoint/DJEGBA

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1255360020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077330071",
            "telephone_number": "732-264-4300",
            "fax_number": "732-264-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BETHANY RD STE 91",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301669",
            "telephone_number": "732-264-4300",
            "fax_number": "732-264-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVULURI",
        "first_name": "SRINIVAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA07341500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1267345",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazlet, NJ

Sources for this page

Verify at the official NPI Registry.