Individual provider Active NPI

Haritha Chityala, MD

  • Anesthesiology Physician
  • Marlton, NJ
National Provider Identifier
1306876305
Registry record updated Apr 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA07683500 Issued in NJ
Practice address
90 Brick Rd
Marlton, NJ 08053-2177
Phone
(856) 355-6000
NPI assigned
Jul 4, 2006
Last updated
Apr 8, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MA07683500 NJ Primary

Addresses

Primary practice location

90 Brick Rd
Marlton, NJ 08053-2177

Mailing address

PO Box 33058
Palm Beach Gardens, FL 33420-3058
Phone (561) 799-3552

Other identifiers 2

IdentifierTypeStateIssuer
050075630OtherNJRR MEDICARE
8949409MedicaidNJ

Other names 1

  • Haritha Mopati Former name

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
I20051213000019 NJ Practitioner - Anesthesiology 2769463553 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allied Digestive Health LLCGroup PAC ID 5991027583, 282 clinicians

Practice addresses (Care Compare)

1374 Whitehorse Hamilton Square Rd
Units 201 204 Units B1 B4
Hamilton, NJ 08690-3701
Phone 6095861319366463

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Digestive Health, LLC Anesthesiology CurrentSince Oct 1, 2021 Accepting new patients
Princeton Healthcare Affiliated Physicians PC CurrentSince Mar 28, 2020 Accepting new patients
Princeton Healthcare Affiliated Physicians PC CurrentSince Mar 28, 2020 Accepting new patients
Darby Anesthesia Associates Inc Anesthesiology Past Accepting new patients
Atlantic Coast Gastroenterology Associates Past Accepting new patients

Locations

401 Ridge Rd
Ste 6
Dayton, NJ 08810
Phone (732) 329-4800

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

1374 Whitehorse Hamilton Square Rd
#201204
Hamilton, NJ 08690

42 Throckmorton Ln
Old Bridge, NJ 08857
Phone (732) 607-1111

1 Washington Blvd
Ste A
Trenton, NJ 08691
Phone (609) 448-4353

1640 Route 88 W
Ste 202
Wall Township, NJ 08724
Phone (732) 370-2220

187 State Route 36
Ste 230
West Long Branch, NJ 07764
Phone (732) 222-3805

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239148800000",
    "number": "1306876305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33058",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334203058",
            "telephone_number": "561-799-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 BRICK RD",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532177",
            "telephone_number": "856-355-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHITYALA",
        "first_name": "HARITHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2009-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA07683500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "050075630",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8949409",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HARITHA",
            "last_name": "MOPATI",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.