Organization Active NPI

Rekha Rao MD LLC

  • Neuromusculoskeletal Medicine & OMM Physician
  • Old Bridge, NJ
National Provider Identifier
1730248477
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
Legal business name
REKHA RAO MD LLC
Practice address
14 Woodward Dr
Ste a
Old Bridge, NJ 08857-3363
Phone
(732) 360-2888
NPI assigned
Dec 8, 2006
Last updated
May 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Authorized official

Name
Dr. Rekha Rao, MD
Title
Owner
Phone
(732) 360-2228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X NU Primary

Addresses

Primary practice location

14 Woodward Dr
Ste a
Old Bridge, NJ 08857-3363

Mailing address

PO Box 397
Holmdel, NJ 07733-0397
Phone (732) 360-2888

Other identifiers 1

IdentifierTypeStateIssuer
7748108MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060426000012 NJ Part B Supplier - Clinic/Group Practice 8426068123 Receives reassigned benefits from 3 practitioners
Practice locations: Old Bridge, NJ

National Provider Directory

National Provider Directory

Locations

3 Hospital Plz
Ste 404
Old Bridge, NJ 08857
Phone (732) 360-2888

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1730248477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 397",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077330397",
            "telephone_number": "732-360-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 WOODWARD DR",
            "address_2": "STE A",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573363",
            "telephone_number": "732-360-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REKHA RAO MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "REKHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-360-2228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7748108",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.