Individual provider Active NPI

Sangeeta Buddala, M.D.

  • Internal Medicine Physician
  • New Lisbon, NJ
National Provider Identifier
1659460509
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MAO7340500 Issued in NJ
Practice address
RT. 72 East
New Lisbon Developmental Center
New Lisbon, NJ 08064
Phone
(609) 726-1000
NPI assigned
Oct 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MAO7340500 NJ Primary

Addresses

Primary practice location

RT. 72 East
New Lisbon Developmental Center
New Lisbon, NJ 08064

Mailing address

7 Shoreham CT
East Windsor, NJ 08520-5101
Phone (609) 371-7997

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
I20110228000141 NJ Practitioner - Internal Medicine 2264613033 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advocare, LLCGroup PAC ID 3678562188, 383 clinicians

Practice addresses (Care Compare)

104 Route 72 East Box 130
New Lisbon Developmental Center
New Lisbon, NJ 08064-0130
Phone (609) 894-4021

132 Grove St
Suite a
Haddonfield, NJ 08033-1224
Phone (856) 354-2211

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MAO7340500NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of New Jersey Omb Centralized Payroll CurrentSince Oct 14, 2019 Accepting new patients
Advocare, LLC Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
Advocare , LLC Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
Advocare, LLC Past Accepting new patients

Locations

169 Mine Brook Rd
#P
Bernardsville, NJ 07924
Phone (908) 766-0034

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

Interoperability endpoints

  • Direct secure messaging: sangeeta.buddala@advocaredoctors.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659460509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SHOREHAM CT",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085205101",
            "telephone_number": "609-371-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RT. 72 EAST",
            "address_2": "NEW LISBON DEVELOPMENTAL CENTER",
            "city": "NEW LISBON",
            "state": "NJ",
            "postal_code": "08064",
            "telephone_number": "609-726-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDDALA",
        "first_name": "SANGEETA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MAO7340500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lisbon, NJ

Sources for this page

Verify at the official NPI Registry.