Nikhila Guduru, M.S

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS01016600 Issued in NJ

Practice address

109 S Main St Ste 20
Cranbury, NJ 08512-3174

Phone

(609) 308-2783

NPI assigned

Sep 10, 2012

Last updated

Nov 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Premium Therapy Speech Services P.C.

  • Speech-Language Pathologist
  • New York, NY
  • NPI 1710231881
  NPD (past)

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1750630463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WOODBURY CT",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "085501842",
            "telephone_number": "862-377-2157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 S MAIN ST STE 20",
            "city": "CRANBURY",
            "state": "NJ",
            "postal_code": "085123174",
            "telephone_number": "609-308-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDURU",
        "first_name": "NIKHILA",
        "name_prefix": "Mrs.",
        "credential": "M.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-10",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS01016600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gameplan Medical Inc
• Gameplan Medical Inc
• Seema Gandhi
• Gemini Health and Rehabilitation, LLC
• Jamie Gold, MS CCC-SLP
• Bharti Gupta, OCCUPATIONAL THERAPI
• Roberta Anne Hantman, LCSW
• James Arthur Hathaway, MD
• Mary Katherine Hawryluk, PSY.D.
• Health Sympl Inc.

• Speech-Language Pathologist in Cranbury, NJ
• Providers in Cranbury, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.