Individual provider Active NPI

Guha K Venkatraman, MD

  • Neurology Physician
  • Livingston, NJ
National Provider Identifier
1356517593
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
25MA08883100 Issued in NJ
Practice address
340 E Northfield Rd Ste 1B
Livingston, NJ 07039-4892
Phone
(973) 255-8920
Fax
(973) 500-4411
NPI assigned
May 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME153329 FL
Neurology Physician 2084N0400X 22124 NH
Neurology Physician 2084N0400X 109967 MT
Neurology Physician 2084N0400X 25MA08883100 NJ Primary

Addresses

Primary practice location

340 E Northfield Rd Ste 1B
Livingston, NJ 07039-4892

Mailing address

340 E Northfield Rd Ste 1B
Livingston, NJ 07039-4892
Phone (973) 255-8920

Other practice location 1

Institute of Neurology and Neurosurgery
200 South Orange Avenue, Suite 165
Livingston, NJ 07039
Phone (973) 322-7580

Other practice location 2

9110 College Pointe Ct
Fort Myers, FL 33919-3244
Phone (239) 208-2212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110729000042 NJ Practitioner - Neurology 3476721887 Reassigns benefits to 1 organization
I20220124001538 GA Practitioner - Neurology 3476721887 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

340 E Northfield Rd
Suite 1B
Livingston, NJ 07039-4892
Phone (973) 974-9946

Hospital & facility affiliations

  • Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076
  • Overlook Medical Center Hospital, Summit, NJ, CCN 310051
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
  • Kessler Rehab Center Inpatient rehabilitation facility, West Orange, NJ, CCN 313025

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
109967MTMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upson County Hospital Inc Neurology CurrentSince Dec 1, 2021 Accepting new patients
Piedmont Hospitalist Physicians LLC CurrentSince Apr 18, 2022 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Apr 18, 2022 Accepting new patients
Upson County Hospital Inc CurrentSince Dec 1, 2021 Accepting new patients
Piedmont Athens Hospitalist Physicians LLC CurrentSince Apr 18, 2022 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Apr 18, 2022 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Piedmont Athens Specialty Care LLC Past Accepting new patients

Locations

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

1800 10th Ave
Columbus, GA 31901
Phone (706) 571-1120

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371

Organizations & group practices 9

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 4

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": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1356517593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 E NORTHFIELD RD STE 1B",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394892",
            "telephone_number": "973-255-8920",
            "fax_number": "973-500-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 E NORTHFIELD RD STE 1B",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394892",
            "telephone_number": "973-255-8920",
            "fax_number": "973-500-4411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Institute of Neurology and Neurosurgery",
            "address_2": "200 South Orange Avenue, Suite 165",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "NJ",
            "postal_code": "07039",
            "country_code": "US",
            "telephone_number": "973-322-7580",
            "fax_number": "973-322-7103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9110 College Pointe Ct",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339193244",
            "country_code": "US",
            "telephone_number": "239-208-2212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VENKATRAMAN",
        "first_name": "GUHA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-07",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME153329",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NH",
            "license": "22124",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MT",
            "license": "109967",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA08883100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

Verify at the official NPI Registry.