Individual provider Active NPI

Varalakshmi Annadanam, M.D

  • Anesthesiology Physician
  • Totowa, NJ
National Provider Identifier
1528061751
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MA067407 Issued in NJ
Practice address
525 Union Blvd
Totowa, NJ 07512-2442
Phone
(973) 928-5360
NPI assigned
May 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MA067407 NJ Primary

Addresses

Primary practice location

525 Union Blvd
Totowa, NJ 07512-2442

Mailing address

PO Box 343
Midland Park, NJ 07432-0343
Phone (201) 804-2800

Other practice location 1

350 Boulevard
Passaic, NJ 07055-2840
Phone (973) 365-4747

Other identifiers 1

IdentifierTypeStateIssuer
7663501MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040421000034 NJ Practitioner - Anesthesiology 7214923994 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barnabas Health MultispecialtyGroup PAC ID 0042441891, 22 clinicians

Practice addresses (Care Compare)

101 Old Short Hills Rd
Suite 217
West Orange, NJ 07052-1023
Phone (973) 731-4600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA067407NJMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Alliance LLC CurrentSince Apr 9, 2014 Accepting new patients
Advanced Ambulatory Anesthesia, LLC Specialist CurrentSince Jan 1, 2001 Accepting new patients
Vivian K. Bethala, MD PA Specialist CurrentSince Feb 25, 2014 Accepting new patients
Barnabas Health Multispecialty Anesthesiology CurrentSince Sep 1, 2016 Accepting new patients
Gastroenterology Associates of New Jersey, LLC Anesthesiology CurrentSince May 1, 2015 Accepting new patients
Barnabas Health Medical Group, PC Specialist Past Accepting new patients

Locations

925 Clifton Ave
Clifton, NJ 07013
Phone (908) 722-9556

925 Clifton Ave
Ste 100
Clifton, NJ 07013
Phone (973) 458-0408

466 Old Hook Rd
Ste 9
Emerson, NJ 07630
Phone (201) 261-1005

466 Old Hook Rd
Ste 1
Emerson, NJ 07630
Phone (201) 261-0821

910 Sylvan Ave
Ste 200
Englewood Cliffs, NJ 07632
Phone (551) 230-3004

15-01 Broadway
Ste 34
Fair Lawn, NJ 07410
Phone (201) 794-6808

195 Columbia Tpke
Florham Park, NJ 07932
Phone (973) 301-0917

170 Prospect Ave
Ste 10
Hackensack, NJ 07601
Phone (201) 489-0030

52 1st St
Hackensack, NJ 07601
Phone (201) 488-3003

101 Madison Ave
Ste 100
Morristown, NJ 07960
Phone (973) 455-0404

80 Eisenhower Dr
Paramus, NJ 07652
Phone (201) 336-1100

80 Eisenhower Dr
Ste 100
Paramus, NJ 07652
Phone (201) 336-1100

1 W Ridgewood Ave
Paramus, NJ 07652
Phone (201) 444-3060

3 Winslow Pl
Ste 1
Paramus, NJ 07652
Phone (201) 546-1890

130 Kinderkamack Rd
Ste 301
River Edge, NJ 07661
Phone (201) 489-7772

301 Lakehurst Rd
Toms River, NJ 08755
Phone (732) 281-1590

525 Union Blvd
Totowa, NJ 07512
Phone (862) 229-0559

307 Hamburg Tpke
Wayne, NJ 07470
Phone (973) 790-7700

1176 Hamburg Tpke
Wayne, NJ 07470
Phone (973) 283-0002

101 Old Short Hills Rd
Ste 217
West Orange, NJ 07052
Phone (973) 731-4600

91 S Jefferson Rd
Ste 300
Whippany, NJ 07981
Phone (973) 658-5022

1130 McBride Ave
Fl 3
Woodland Park, NJ 07424
Phone (973) 785-2277

205 Browertown Rd
Woodland Park, NJ 07424
Phone (973) 785-7515

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJIGAA

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1528061751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 343",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074320343",
            "telephone_number": "201-804-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 UNION BLVD",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122442",
            "telephone_number": "973-928-5360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 Boulevard",
            "address_purpose": "LOCATION",
            "city": "Passaic",
            "state": "NJ",
            "postal_code": "070552840",
            "country_code": "US",
            "telephone_number": "973-365-4747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANNADANAM",
        "first_name": "VARALAKSHMI",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "MA067407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7663501",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Totowa, NJ

Sources for this page

Verify at the official NPI Registry.