NPIMap

Individual provider Active NPI

Pranathi Reddy Mandadi, M.D.

  • Internal Medicine Physician
  • Long Branch, NJ
National Provider Identifier
1689695538
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MAO7965000 Issued in NJ
Practice address
166 Morris Ave
Long Branch, NJ 07740-6619
Phone
(732) 229-2020
Fax
(732) 229-2255
NPI assigned
Jul 23, 2006
Last updated
Sep 25, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

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 25MAO7965000 NJ Primary

Addresses

Primary practice location

166 Morris Ave
Long Branch, NJ 07740-6619

Mailing address

PO Box 8000
Dept 596
Buffalo, NY 14267-0002
Phone (866) 295-0041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060120000265 NJ Practitioner - Internal Medicine 2860416708 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
BSD Medical Practice II LLCGroup PAC ID 3476062712, 4 clinicians
Rwjbh Emergency Medicine Associates, LLCGroup PAC ID 0941612840, 826 clinicians

Practice addresses (Care Compare)

1620 Vauxhall Rd
Suite 100 11
Union, NJ 07083-3409
Phone (908) 882-2025

300 2ND Ave
Long Branch, NJ 07740-6303
Phone (732) 222-5200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MAO7965000NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Rwjbh Primary Care Services Internal Medicine CurrentSince Oct 2, 2021 Accepting new patients
Mandadillc Internal Medicine CurrentSince Jun 26, 2026 Accepting new patients
BSD Medical Practice II LLC Internal Medicine CurrentSince May 1, 2025 Accepting new patients
Rwjbh Emergency Medicine Associates, LLC Internal Medicine CurrentSince Oct 4, 2024 Accepting new patients
Monmouth Medical Center Inc Past Accepting new patients

Locations

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900

600 River Ave
#4W
Lakewood, NJ 08701
Phone (732) 806-3224

166 Morris Ave
Long Branch, NJ 07740
Phone (732) 229-2020

166 Morris Ave
#2
Long Branch, NJ 07740
Phone (732) 229-2020

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

300 2nd Ave
#6
Long Branch, NJ 07740
Phone (732) 923-5037

3 Executive Dr
Ste 400
Somerset, NJ 08873
Phone (732) 369-5949

1620 Vauxhall Rd
Ste 10011
Union, NJ 07083
Phone 7182225999213

8 Mountain Blvd
Ste J
Warren, NJ 07059
Phone (732) 893-0200

Interoperability endpoints

  • Direct secure messaging: pmandadi46041@epicdirect.rwjbh.org
  • Direct secure messaging: pranathi.mandadi.1@30617.direct.athenahealth.com
  • Direct secure messaging: pranathimandadi@mai.allscriptsdirect.net

Organizations & group practices 6

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 9

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": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1689695538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8000",
            "address_2": "DEPT 596",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142670002",
            "telephone_number": "866-295-0041",
            "fax_number": "708-342-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 MORRIS AVE",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406619",
            "telephone_number": "732-229-2020",
            "fax_number": "732-229-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDADI",
        "first_name": "PRANATHI",
        "middle_name": "REDDY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MAO7965000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Branch, NJ

Sources for this page

Verify at the official NPI Registry.