Individual provider Active NPI

Madhavi Pamidi, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • West Orange, NJ
National Provider Identifier
1710987201
Registry record updated Apr 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
25MA07137200 Issued in NJ
Practice address
375 Mount Pleasant Ave
West Orange, NJ 07052-2724
Phone
(973) 731-9442
Fax
(973) 731-2918
NPI assigned
Jul 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 25MA07137200 NJ
Clinical Cardiac Electrophysiology Physician 207RC0001X 25MA07137200 NJ Primary

Addresses

Primary practice location

375 Mount Pleasant Ave
West Orange, NJ 07052-2724

Mailing address

375 Mount Pleasant Ave
West Orange, NJ 07052-2724
Phone (973) 731-9442

Other identifiers 1

IdentifierTypeStateIssuer
8565902MedicaidNJ

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
I20040615001374 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac Electrophysiology 0749264901 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Cardiac Electrophysiology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barnabas Health Medical Group PCGroup PAC ID 9537316955, 1,027 clinicians

Practice addresses (Care Compare)

375 Mount Pleasant Ave
West Orange, NJ 07052-2750
Phone (973) 731-9442

Hospital & facility affiliations

  • Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076
  • Jersey City Medical Center Hospital, Jersey City, NJ, CCN 310074
  • Community Medical Center Hospital, Toms River, NJ, CCN 310041
  • Clara Maass Medical Center Hospital, Belleville, NJ, CCN 310009
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as apm
Quality
84.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07137200NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC CurrentSince Jan 1, 2014 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Jan 1, 2014 Accepting new patients

Locations

5 Franklin Ave
Ste 405
Belleville, NJ 07109
Phone (973) 429-8333

5 Franklin Ave
Ste 202
Belleville, NJ 07109
Phone (973) 429-8333

731 Lacey Rd
Forked River, NJ 08731
Phone (609) 242-6780

355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

235 Millburn Ave
Ste 101
Millburn, NJ 07041
Phone (973) 376-8034

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

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

780 Route 37 W
Ste 310
Toms River, NJ 08755
Phone (732) 240-0599

375 Mount Pleasant Ave
Ste 102
West Orange, NJ 07052

101 Old Short Hills Rd
Ste 120
West Orange, NJ 07052
Phone (973) 731-7868

375 Mount Pleasant Ave
West Orange, NJ 07052
Phone (973) 322-6900

Organizations & group practices 2

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 6

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": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241049600000",
    "number": "1710987201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 MOUNT PLEASANT AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522724",
            "telephone_number": "973-731-9442",
            "fax_number": "973-731-2918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 MOUNT PLEASANT AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522724",
            "telephone_number": "973-731-9442",
            "fax_number": "973-731-2918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAMIDI",
        "first_name": "MADHAVI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2009-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA07137200",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NJ",
            "license": "25MA07137200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8565902",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

Verify at the official NPI Registry.