Individual provider Active NPI

Prateek Gopigari

  • Student in an Organized Health Care Education/Training Program
  • Denville, NJ
National Provider Identifier
1417747288
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
25 Pocono Road, 2ND Floor-C Wing, St. Clares's Health G
Denville, NJ 07834
Phone
(973) 365-4661
Fax
(973) 365-4848
NPI assigned
May 7, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

25 Pocono Road, 2ND Floor-C Wing, St. Clares's Health G
Denville, NJ 07834

Mailing address

25 Pocono Road, 2ND Floor-C Wing, St. Clares's Health G
Denville, NJ 07834

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1746576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1417747288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 POCONO ROAD, 2ND FLOOR-C WING, ST. CLARES'S HEALTH G",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "07834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 POCONO ROAD, 2ND FLOOR-C WING, ST. CLARES'S HEALTH G",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "07834",
            "telephone_number": "973-365-4661",
            "fax_number": "973-365-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOPIGARI",
        "first_name": "PRATEEK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-07",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; 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.