Individual provider Active NPI

Vijaya S Lakshmi-Reddy, M.D.

  • Anesthesiology Physician
  • Watchung, NJ
National Provider Identifier
1538162656
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MA68188 Issued in MA
Practice address
40 Stirling Rd Ste 205
Surgicare Anesthesia of Central Jersey
Watchung, NJ 07069-5900
Phone
(908) 769-1084
Fax
(908) 769-4139
NPI assigned
May 23, 2005
Last updated
Feb 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA 68188 NJ
Anesthesiology Physician 207L00000X MA68188 MA Primary

Addresses

Primary practice location

40 Stirling Rd Ste 205
Surgicare Anesthesia of Central Jersey
Watchung, NJ 07069-5900

Mailing address

40 Stirling Rd Ste 205
Surgicare Anesthesia of Central Jersey
Watchung, NJ 07069-5900
Phone (908) 769-1084

Other identifiers 1

IdentifierTypeStateIssuer
8630909MedicaidNJ

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
I20110930000071 NJ Practitioner - Anesthesiology 3173795879 Reassigns benefits to 1 organization
Practice locations: Watchung, NJ

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA 68188NJMDSpecialist
MA68188MAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Tree Anesthesia Associates, LLC Anesthesiology CurrentSince Feb 9, 2021 Accepting new patients

Locations

1931 Oak Tree Rd
Ste 100
Edison, NJ 08820
Phone (732) 603-8603

Organizations & group practices 1

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": "1613606400000",
    "number": "1538162656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 STIRLING RD STE 205",
            "address_2": "SURGICARE ANESTHESIA OF CENTRAL JERSEY",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070695900",
            "telephone_number": "908-769-1084",
            "fax_number": "908-769-4139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 STIRLING RD STE 205",
            "address_2": "SURGICARE ANESTHESIA OF CENTRAL JERSEY",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070695900",
            "telephone_number": "908-769-1084",
            "fax_number": "908-769-4139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKSHMI-REDDY",
        "first_name": "VIJAYA",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA 68188",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "MA68188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8630909",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watchung, NJ

Sources for this page

Verify at the official NPI Registry.