Individual provider Active NPI

Aruna Gnanainder Yeldandi, M.D.

  • Nephrology Physician
  • East Orange, NJ
National Provider Identifier
1255479028
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MA057760 Issued in NJ
Practice address
310 Central Ave
Suite 109,
East Orange, NJ 07018-2835
Phone
(973) 677-1999
Fax
(973) 677-1998
NPI assigned
Feb 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MA057760 NJ Primary

Addresses

Primary practice location

310 Central Ave
Suite 109,
East Orange, NJ 07018-2835

Mailing address

248 Congressional CT
Moorestown, NJ 08057-3744
Phone (973) 568-5348

Other identifiers 1

IdentifierTypeStateIssuer
6403000MedicaidNJ

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
I20040721001164 NJ Practitioner - NephrologyPractitioner - General PracticePractitioner - Internal MedicinePractitioner - Infectious Disease 1557341500 Reassigns benefits to 2 organizations
Practice locations: East Orange, NJ

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA057760NJMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eoh Acquisition Group, LLC CurrentSince Apr 12, 2022 Accepting new patients
Pathology Associates, PC Current Accepting new patients
Eoh Acquisition Group, LLC CurrentSince Jan 1, 2022 Accepting new patients
Eoh Acquisition Group, LLC CurrentSince Jan 1, 2022 Accepting new patients
Physician Associates of Northern New Jersey, PC Past Accepting new patients
Clinton Medical Associates PA Past Accepting new patients
Aruna Yeldanidi MD LLC Nephrology PastSince Jan 1, 1990 Accepting new patients
Aruna Yeldandi, MD LLC Nephrology PastSince Jan 1, 1990 Accepting new patients

Locations

300 Central Ave
East Orange, NJ 07018
Phone (973) 266-8460

310 Central Ave
Ste 109
East Orange, NJ 07018
Phone (908) 425-6574

310 Central Ave
Ste 101
East Orange, NJ 07018
Phone (973) 673-6300

240 Central Ave
East Orange, NJ 07018
Phone (973) 414-3473

310 Central Ave
Ste 209
East Orange, NJ 07018
Phone (973) 677-1999

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1255479028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 CONGRESSIONAL CT",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573744",
            "telephone_number": "973-568-5348",
            "fax_number": "973-597-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 CENTRAL AVE",
            "address_2": "SUITE 109,",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182835",
            "telephone_number": "973-677-1999",
            "fax_number": "973-677-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YELDANDI",
        "first_name": "ARUNA",
        "middle_name": "GNANAINDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "MA057760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6403000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

Verify at the official NPI Registry.