Raja Mani Teja Potluri

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI04022100 Issued in NJ

Practice address

119 Ocean Ave
Jersey City, NJ 07305-2500

Phone

(201) 432-6968

NPI assigned

Mar 11, 2020

Sex

Male

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

State licenses

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1265067045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 OCEAN AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073052500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 OCEAN AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073052500",
            "telephone_number": "201-432-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTLURI",
        "first_name": "RAJA MANI TEJA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-11",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI04022100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Esther Ponce, DIPL. O.M., L.AC
• Joseph Francis Popovich, M.D.,F.A.C.S.
• Nikhil Porecha, DPT
• Emma Poroger, M.D D.O
• Hamutal Posklinsky Shehory
• Sree Vishnu Potluri
• Michele Poznanski
• Viraj Prabhu, DO
• Prasannata Pradhan, DDS
• Pranay Inc

• Pharmacist in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.