Madhusudanarao Pasupuleti, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA03548300 Issued in NJ

Practice address

530 New Brunswick Ave
Perth Amboy, NJ 08861-3654

Phone

(732) 324-5104

Fax

(732) 324-4995

NPI assigned

Jul 29, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Nexact LLC

  • Family Medicine Physician
  • Florham Park, NJ
  • NPI 1578090031
  NPD (past)
• CMC Radiological Services PC

  • Diagnostic Radiology Physician
  • Jamaica, NY
  • NPI 1285780502
  NPD (past)

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1740280874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 RUSTIC WAY",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077289011",
            "telephone_number": "723-303-0484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 NEW BRUNSWICK AVE",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613654",
            "telephone_number": "732-324-5104",
            "fax_number": "732-324-4995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASUPULETI",
        "first_name": "MADHUSUDANARAO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA03548300",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA03548300",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA03548300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Parisi, MD
• Jennifer Park
• Passion Behavioral Health LLC
• Passion Care Center
• Amanda E. Passman, LCSW
• Charmy H Patel, D.M.D.
• Hardi Patel, DNP
• Jaimini Patel, R.N., C.N.M.
• Jayshree R Patel, MD
• Jignasha G Patel, BPHARM

• Pediatrics Physician in Perth Amboy, NJ
• Providers in Perth Amboy, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.