Deepthi Kallakuri, CEP

Primary specialty

Clinical Exercise PhysiologistTaxonomy code 224Y00000X

Practice address

350 Engle Street
Englewood, NJ 07631-0763

Phone

(201) 894-3285

NPI assigned

Mar 14, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Deepthi Kallakuri Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1639870843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 S PLEASANT AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074505335",
            "telephone_number": "919-454-8843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 ENGLE STREET",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076310763",
            "telephone_number": "201-894-3285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLAKURI",
        "first_name": "DEEPTHI",
        "name_prefix": "Mrs.",
        "credential": "CEP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-14",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEEPTHI",
            "last_name": "KALLAKURI",
            "prefix": "MRS.",
            "credential": "CEP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jyc Eye Care
• Margarita Kaganovskaya, MD
• Tamar Z. Kahane, PSY.D.
• Oleg Kaim, M.D.
• Allison Marie Kakolewski
• Parthena Kallopoulos, PHYSICIAN ASSISTANT
• David Kallus, DMD
• Robyn A Kampf, MD
• Sandarsh Raj Kancherla, M.D.
• Sorang Kang

• Clinical Exercise Physiologist in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Clinical Exercise Physiologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.