Organization Active NPI

Maddali & Associates PC

  • Dentist
  • Union, NJ
National Provider Identifier
1295496420
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MADDALI & ASSOCIATES PC
Doing business as
Maddali and Associates PC
Practice address
2810 Morris Ave Ste 202
Union, NJ 07083-4841
Phone
(908) 851-9292
Fax
(908) 851-9899
NPI assigned
Jan 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2022

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

Authorized official

Name
Dr. Kalyani Maddali, DDSNPI 1245372812
Title
Presiden
Phone
(201) 232-9468

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2810 Morris Ave Ste 202
Union, NJ 07083-4841

Mailing address

2810 Morris Ave Ste 202
Union, NJ 07083-4841
Phone (908) 851-9292

Other names 1

  • Maddali and Associates PC Doing business as

National Provider Directory

National Provider Directory

Locations

2810 Morris Ave
Ste 202
Union, NJ 07083
Phone (908) 851-9292

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652400000000",
    "number": "1295496420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 MORRIS AVE STE 202",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070834841",
            "telephone_number": "908-851-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 MORRIS AVE STE 202",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070834841",
            "telephone_number": "908-851-9292",
            "fax_number": "908-851-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADDALI & ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A",
        "authorized_official_last_name": "MADDALI",
        "authorized_official_first_name": "KALYANI",
        "authorized_official_title_or_position": "PRESIDEN",
        "authorized_official_telephone_number": "201-232-9468",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maddali and Associates PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Maddali and Associates PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Union, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; 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.