Saila Bala Donepudi, M.D

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MAO66835 Issued in NJ

Practice address

385 Tremont Ave # 116a
Room 059
East Orange, NJ 07018-1023

Phone

(973) 676-1000

NPI assigned

Jul 16, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609893627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 VAN BUREN DR",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521336",
            "telephone_number": "973-676-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 TREMONT AVE # 116A",
            "address_2": "ROOM 059",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181023",
            "telephone_number": "973-676-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONEPUDI",
        "first_name": "SAILA",
        "middle_name": "BALA",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MAO66835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwen Dodd Lee, APN-C
• Richard Craig Dodger, DDS
• Yarleen Dominguez
• Don'T Wait Communicate Speech & Language Services, LLC
• James Saunders Donahoo, MD
• Ronke Dosunmu, MD
• Douglas a Taylor MD PC
• Peter Clowes Dowling, M.D.
• Nafisah Kicha Downs, LSW, LCADC
• Dr Kenya Lazovik

• Psychiatry Physician in East Orange, NJ
• Providers in East Orange, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.