Individual provider Active NPI

Spandana Nallapati, MD

  • Developmental - Behavioral Pediatrics Physician
  • Princeton, NJ
National Provider Identifier
1295107183
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
License
25MA09741800 Issued in NJ
Practice address
3495 US Highway 1 Ste 34
Princeton, NJ 08540-5933
Phone
(640) 225-3072
Fax
(609) 228-6610
NPI assigned
Oct 30, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental - Behavioral Pediatrics Physician 2080P0006X 25MA09741800 NJ Primary
Developmental - Behavioral Pediatrics Physician 2080P0006X MD479162 PA
Developmental - Behavioral Pediatrics Physician 2080P0006X 307771 NY

Addresses

Primary practice location

3495 US Highway 1 Ste 34
Princeton, NJ 08540-5933

Mailing address

3495 US Highway 1 Ste 34
Princeton, NJ 08540-5933
Phone (640) 225-3072

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
I20181120000051 NJ Practitioner - Pediatric Medicine 2466706924 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
307771NYMDDevelopmental - Behavioral Pediatrics Physician
MD479162PAMDDevelopmental - Behavioral Pediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children' Specialized Hospital CurrentSince Sep 26, 2018 Accepting new patients
Children'S Specialized Hospital CurrentSince Sep 26, 2018 Accepting new patients

Locations

150 New Providence Rd
Mountainside, NJ 07092

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

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.

NPI Registry JSON

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1295107183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 US HIGHWAY 1 STE 34",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085405933",
            "telephone_number": "640-225-3072",
            "fax_number": "609-228-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3495 US HIGHWAY 1 STE 34",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085405933",
            "telephone_number": "640-225-3072",
            "fax_number": "609-228-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALLAPATI",
        "first_name": "SPANDANA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-30",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "NJ",
            "license": "25MA09741800",
            "primary": true
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "PA",
            "license": "MD479162",
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "NY",
            "license": "307771",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.