Individual provider Active NPI

Sudha Kavuru, MD

  • Specialist
  • Toms River, NJ
National Provider Identifier
1689765190
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MAO7397100 Issued in NJ
Practice address
40 Bey Lea Rd
Building C Suite 202
Toms River, NJ 08753-2900
Phone
(732) 240-0068
Fax
(732) 240-1574
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MAO7397100 NJ Primary

Addresses

Primary practice location

40 Bey Lea Rd
Building C Suite 202
Toms River, NJ 08753-2900

Mailing address

40 Bey Lea Rd
Building C Suite 202
Toms River, NJ 08753-2900
Phone (732) 240-0068

Other names 1

  • Sudha Kavuru Other name

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
I20040806000051 NJ Practitioner - Hematology/OncologyPractitioner - Internal Medicine 3375515869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Cancer Care of New Jersey PCGroup PAC ID 3678519915, 2 clinicians

Practice addresses (Care Compare)

40 Bey Lea Rd
Toms River, NJ 08753-2900
Phone (732) 244-3380

Hospital & facility affiliations

  • Community Medical Center Hospital, Toms River, NJ, CCN 310041

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MAO7397100NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Cancer Care of New Jersey,PC CurrentSince Jan 1, 2024 Accepting new patients
Barnabas Health Medical Group, PC Specialist Past Accepting new patients
Samir Jain MD PC PastSince Jan 1, 2024 Accepting new patients

Locations

40 Bey Lea Rd
Ste B102
Toms River, NJ 08753
Phone (732) 244-3380

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195603200000",
    "number": "1689765190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BEY LEA RD",
            "address_2": "BUILDING C SUITE 202",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532900",
            "telephone_number": "732-240-0068",
            "fax_number": "732-240-1574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BEY LEA RD",
            "address_2": "BUILDING C SUITE 202",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532900",
            "telephone_number": "732-240-0068",
            "fax_number": "732-240-1574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVURU",
        "first_name": "SUDHA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MAO7397100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUDHA",
            "last_name": "KAVURU",
            "credential": "M.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.