Organization Active NPI

Northfield Internal Medicine, PA

  • Internal Medicine Physician
  • Livingston, NJ
National Provider Identifier
1336298389
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
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
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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.NPI 1659398386
Title
President
Phone
(973) 328-6736

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

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

Mailing address

13 Blue Bird CT
Randolph, NJ 07869-2127
Phone (973) 992-0658

National Provider Directory

National Provider Directory

Locations

22 Old Short Hills Rd
Ste 213
Livingston, NJ 07039
Phone (973) 535-3800

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

  • 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.