Apollo Medical Group, P.a.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MA25142 Issued in NJ

Legal business name

APOLLO MEDICAL GROUP, P.A.

Practice address

27 Mountain Blvd
Suite# 1
Warren, NJ 07059-5605

Phone

(908) 753-2662

NPI assigned

Jun 25, 2008

Last updated

Jun 25, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rao V. Vinnakota, M.D.NPI 1295716157

Title

President

Phone

(908) 753-2662

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rao V Vinnakota, M.D.,

  • Pediatrics Physician
  • South Plainfield, NJ
  • NPI 1295716157
  NPD (past) Authorized official
• Radha Vinnakota, M.D.

  • Otolaryngology Physician
  • South Plainfield, NJ
  • NPI 1184718306
  NPD (past)

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1568623296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 MOUNTAIN BLVD",
            "address_2": "SUITE# 1",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595605",
            "telephone_number": "908-753-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 MOUNTAIN BLVD",
            "address_2": "SUITE# 1",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595605",
            "telephone_number": "908-753-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOLLO MEDICAL GROUP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "VINNAKOTA",
        "authorized_official_first_name": "RAO",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-753-2662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA25142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ams Medical LLC
• Kaitlyn Noelle Andersen, OTR/L
• Ellen Anello, LCSW
• Apex Health and Fitness Limited Liability Company
• Apex Internal Medicine Inc
• Aquarian Psychiatry and Wellness, LLC
• Cynthia Lynn Argiro, PT,MA
• Chryssoula Arsenis, M.A,M.S-CCC-SLP
• Douglas Ashinsky, MD
• Associated Orthopaedics

• Pediatrics Physician in Warren, NJ
• Providers in Warren, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.