Northfield Internal Medicine, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

NORTHFIELD INTERNAL MEDICINE, PA

Practice address

315 E Northfield Rd
Suite # 1D
Livingston, NJ 07039-4896

Phone

(973) 992-0658

Fax

(973) 992-6655

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Visala V Nanduri, M.D.

Title

President

Phone

(973) 328-6736

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336298389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 BLUE BIRD CT",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692127",
            "telephone_number": "973-992-0658",
            "fax_number": "973-992-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E NORTHFIELD RD",
            "address_2": "SUITE # 1D",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394896",
            "telephone_number": "973-992-0658",
            "fax_number": "973-992-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHFIELD INTERNAL MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NANDURI",
        "authorized_official_first_name": "VISALA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-328-6736",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0110515",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ian Edward Noborine, FNP-C
• Patricia Nolan, PT
• Non-Invasive Lab at St Barnabas
• North Jersey Rheumatology LLC
• Northeast Pulmonary and Sleep Medical LLC
• Northfield Medical Associates LLC
• Northfield Psychologist Assoc
• Ariana Noto
• Guy F. Notte, D.C.
• Noushin Heidary MD LLC

• Internal Medicine Physician in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.