Kavita Bupathi MD LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

KAVITA BUPATHI MD LLC

Practice address

1000 Woodbridge Center Dr Ste 106
Woodbridge, NJ 07095-1315

Phone

(732) 326-0363

Fax

(732) 326-0364

NPI assigned

Jan 11, 2024

Last updated

Jan 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kishor Bupathi

Title

Office Manager

Phone

(908) 456-0083

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kavita K Bupathi, MD

  • Pediatrics Physician
  • Woodbridge, NJ
  • NPI 1992732135
  NPD (past)

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1306617063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ETHEL RD STE 206B",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172839",
            "telephone_number": "732-650-0350",
            "fax_number": "732-650-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WOODBRIDGE CENTER DR STE 106",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070951315",
            "telephone_number": "732-326-0363",
            "fax_number": "732-326-0364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Ethel Rd Ste 206B",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088172839",
            "country_code": "US",
            "telephone_number": "732-650-0350",
            "fax_number": "732-650-0351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KAVITA BUPATHI MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "BUPATHI",
        "authorized_official_first_name": "KISHOR",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "908-456-0083",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julio Baquerizo Apn LLC
• Prathyusha Kalavala
• Rashmi Kamath Talpady, LAC
• Jennifer Elena Kantor, DMD
• Russell Scott Kateman, OD
• Cheri M Keim, OTR/L
• Michael Kelly
• Bilgin Kerisli, DC
• Kidney Life, LLC (Woodbridge Dialysis)
• Heather Nicole Kish, OTR/L

• Pediatrics Physician in Woodbridge, NJ
• Providers in Woodbridge, 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 Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.