Organization Active NPI

Comprehensive Lung Care LLC

  • Pulmonary Disease Physician
  • North Brunswick, NJ
National Provider Identifier
1558657692
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
COMPREHENSIVE LUNG CARE LLC
Practice address
1440 How LN
Ste 2D
North Brunswick, NJ 08902-4600
Phone
(732) 820-0088
Fax
(732) 837-3070
NPI assigned
Jun 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

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

Authorized official

Name
Dr. Haritha Potluri, M.DNPI 1225074701
Title
Director
Phone
(732) 379-9033

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)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X Primary
Medical Specialty Clinic/Center 261QM2500X 25MA08083800 NJ

Addresses

Primary practice location

1440 How LN
Ste 2D
North Brunswick, NJ 08902-4600

Mailing address

2468 US Highway 206
PO Box 847
Belle Mead, NJ 08502-4017
Phone (732) 820-0088

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111216000070 NJ Part B Supplier - Clinic/Group Practice 3678748811 Receives reassigned benefits from 1 practitioner
Practice locations: Hillsborough, NJ; North Brunswick, NJ; Somerset, NJ

National Provider Directory

National Provider Directory

Locations

2468 US Highway 206
Unit 847
Belle Mead, NJ 08502

21 Clyde Rd
Ste 101
Somerset, NJ 08873
Phone (732) 719-2222

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1558657692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2468 US HIGHWAY 206",
            "address_2": "PO BOX 847",
            "city": "BELLE MEAD",
            "state": "NJ",
            "postal_code": "085024017",
            "telephone_number": "732-820-0088",
            "fax_number": "732-837-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 HOW LN",
            "address_2": "STE 2D",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089024600",
            "telephone_number": "732-820-0088",
            "fax_number": "732-837-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE LUNG CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-28",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "POTLURI",
        "authorized_official_first_name": "HARITHA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "732-379-9033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "25MA08083800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; 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.

Verify at the official NPI Registry.