Active NPI
Center for Infectious Diseases and Intl. Travel Care of Monmouth, P.C.
- Medical Specialty Clinic/Center
- Freehold, NJ
National Provider Identifier
1497929038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 25MA07472000
- Legal business name
- CENTER FOR INFECTIOUS DISEASES AND INTL. TRAVEL CARE OF MONMOUTH, P.C.
- Practice address
- 901 West Main Street Suite 260,
CN 5050,
Freehold, NJ 07728 - Phone
- (732) 685-9243
- Fax
- (732) 631-9924
- NPI assigned
- Apr 15, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ramanasri V. Kudipudi, M.D.
- Title
- President
- Phone
- (732) 685-9243
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 25MA07472000 | NJ | Primary |
| General Acute Care Hospital | 282N00000X | 25MA07472000 | NJ |
Addresses
Primary practice location
901 West Main Street Suite 260,
CN 5050,
Freehold, NJ 07728
Mailing address
31 Yellow Brook Rd
Holmdel, NJ 07733-1967
Phone (732) 682-9763
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8972401 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
901 W Main St
Ste 260CN5050
Freehold, NJ 07728
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Infectious Disease Physician
- Freehold, NJ
- NPI 1447325311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713225600000",
"number": "1497929038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 YELLOW BROOK RD",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "077331967",
"telephone_number": "732-682-9763",
"fax_number": "732-631-9924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 WEST MAIN STREET SUITE 260,",
"address_2": "CN 5050,",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "07728",
"telephone_number": "732-685-9243",
"fax_number": "732-631-9924"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR INFECTIOUS DISEASES AND INTL. TRAVEL CARE OF MONMOUTH, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-15",
"last_updated": "2024-04-16",
"certification_date": "2024-04-16",
"status": "A",
"authorized_official_last_name": "KUDIPUDI",
"authorized_official_first_name": "RAMANASRI",
"authorized_official_middle_name": "V.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "732-685-9243",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "NJ",
"license": "25MA07472000",
"primary": true
},
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "NJ",
"license": "25MA07472000",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8972401",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Freehold, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.