Rao V Vinnakota, M.D.,

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA02514200 Issued in NJ

Practice address

2013 Park Ave
South Plainfield, NJ 07080-5401

Phone

(908) 753-2662

Fax

(908) 753-2633

NPI assigned

Nov 8, 2005

Sex

Male

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Apollo Medical Group, P.a.

  • Pediatrics Physician
  • Warren, NJ
  • NPI 1568623296
  NPD (past) Authorized official

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1295716157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 RAVINN LN",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595572",
            "telephone_number": "908-753-2662",
            "fax_number": "908-753-2633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 PARK AVE",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805401",
            "telephone_number": "908-753-2662",
            "fax_number": "908-753-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINNAKOTA",
        "first_name": "RAO",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA02514200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veda Integrated Wellness LLC
• Venice Behavioral Health LLC
• Francisco Vila, PHARM.D
• Sesi Kala Aparajitha Villa, DPT
• Radha Vinnakota, M.D.
• Viran Integrative Therapy Services
• Jaimini Neeraj Vora, M.D.
• Walgreen Co
• Walgreen Co.
• Jane Wang, OTR

• Pediatrics Physician in South Plainfield, NJ
• Providers in South Plainfield, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.