Aravinda Reddy MD PA

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

25MA08807500 Issued in NJ

Legal business name

ARAVINDA REDDY MD PA

Practice address

240 Williamson St
Suite 205
Elizabeth, NJ 07202-3674

Phone

(908) 289-8340

Fax

(908) 576-3456

NPI assigned

Aug 5, 2011

Last updated

Nov 19, 2024By 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. Aravinda Reddy, M.D.NPI 1497948640

Title

President

Phone

(732) 861-9550

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: aravindareddy@advancedmd-direct.com

Practitioners 1

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.

• Aravinda Reddy, M.D

  • Nephrology Physician
  • Elizabeth, NJ
  • NPI 1497948640

  Internal Medicine

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1679852875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1089 NEW DOVER RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201421",
            "telephone_number": "732-673-3057",
            "fax_number": "908-576-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 WILLIAMSON ST",
            "address_2": "SUITE 205",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072023674",
            "telephone_number": "908-289-8340",
            "fax_number": "908-576-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARAVINDA REDDY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-05",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "ARAVINDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-861-9550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA08807500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AravindaReddy@advancedmd-direct.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "240 Williamson St",
            "address_2": "Suite 205",
            "city": "Elizabeth",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "072023674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Nephrology Physician in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Nephrology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.