Individual provider Active NPI

Padmavathi Rao, NP-C

  • Nurse Practitioner
  • Paramus, NJ
National Provider Identifier
1346525193
Registry record updated Jun 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NJ2600347800 Issued in NJ
Practice address
230 E Ridgewood Ave
Paramus, NJ 07652-4142
Phone
(201) 967-4141
NPI assigned
Oct 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health Nurse Practitioner 363LX0106X 26NJ00347800 NJ
Nurse Practitioner 363L00000X NJ2600347800 NJ Primary

Addresses

Primary practice location

230 E Ridgewood Ave
Paramus, NJ 07652-4142

Mailing address

8 Tavaronr Street
Garnerville, NY 10923

Other identifiers 1

IdentifierTypeStateIssuer
0283011MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120305000229 NJ Practitioner - Nurse Practitioner 3870752280 Reassigns benefits to 5 organizations
I20171208002130 NY Practitioner - Nurse Practitioner 3870752280

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stadium Emergency AssociatesGroup PAC ID 6406150010, 24 clinicians

Practice addresses (Care Compare)

230 E Ridgewood Ave
Paramus, NJ 07652-4142
Phone (201) 967-4000

Hospital & facility affiliations

  • Hackensack Meridian Health Pascack Valley Medical Hospital, Westwood, NJ, CCN 310130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NJ2600347800NJMDNurse Practitioner
26NJ00347800NJMDOccupational Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stadium Emergency Associates CurrentSince Jan 19, 2019 Accepting new patients
New Jersey/Pennsylvania Em-I Medical Services, P.C. Nurse Practitioner Current Accepting new patients
Awani Kumar, MD, PC CurrentSince Mar 9, 2013 Accepting new patients
Subacute Medical Associates CurrentSince May 1, 2021 Accepting new patients
Barron Emergency Physicians LLC Nurse Practitioner CurrentSince Aug 17, 2017 Accepting new patients
New Jersey/Pennsylvania Em-I Medical Services PC Nurse Practitioner CurrentSince May 1, 2017 Accepting new patients

Locations

110 Grove Ave
Cedar Grove, NJ 07009
Phone (973) 571-6600

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

230 E Ridgewood Ave
Paramus, NJ 07652
Phone (201) 225-4700

310 Salem Woodstown Rd
Salem, NJ 08079
Phone (856) 339-6054

55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744

1140 Route 72 W
Stafford Township, NJ 08050
Phone (609) 978-2194

66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051

99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000

780 Route 37 W
Ste 110
Toms River, NJ 08755
Phone (732) 341-3500

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

Interoperability endpoints

  • Direct secure messaging: prao190152@ahs.direct-ci.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/aacbdb31-a2b4-4f14-9ce9-7a927513087d/

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498521600000",
    "number": "1346525193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 TAVARONR STREET",
            "city": "GARNERVILLE",
            "state": "NY",
            "postal_code": "10923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E RIDGEWOOD AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076524142",
            "telephone_number": "201-967-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "PADMAVATHI",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-12",
        "last_updated": "2017-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "NJ",
            "license": "26NJ00347800",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "NJ2600347800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0283011",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.