Individual provider Active NPI

Sitamahalakshmi Yerramalli, MD

  • Hematology & Oncology Physician
  • Belleville, NJ
National Provider Identifier
1780676759
Registry record updated Feb 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
25MA03850700 Issued in NJ
Practice address
1 Clara Maass Dr Ste 200
Belleville, NJ 07109-3550
Phone
(973) 751-8880
Fax
(973) 751-8950
NPI assigned
Aug 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 25MA03850700 NJ Primary

Addresses

Primary practice location

1 Clara Maass Dr Ste 200
Belleville, NJ 07109-3550

Mailing address

1 Clara Maass Dr Ste 200
Belleville, NJ 07109-3550
Phone (973) 751-8880

Other identifiers 1

IdentifierTypeStateIssuer
0154709MedicaidNJ

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
I20040604000313 NJ Practitioner - Hematology/Oncology 2163404922 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Cancer Care Associates LLCGroup PAC ID 5294710091, 148 clinicians

Practice addresses (Care Compare)

1 Clara Maass Dr
Suite 200
Belleville, NJ 07109-3550
Phone (609) 835-2900

30 Prospect Ave
Hackensack, NJ 07601-1915
Phone (844) 346-7222

Merit-based Incentive Payment System (MIPS)

Final score
80.53 of 100Reported as group
Quality
50.37
Promoting interoperability
100
Improvement activities
40
Cost
70.22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA03850700NJMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Cancer Care Associates LLC Hematology & Oncology CurrentSince May 1, 2007 Accepting new patients
Regional Cancer Care Associates LLC Hematology & Oncology CurrentSince Jun 15, 2024 Accepting new patients
Ironbound Medical Associates LLC Past Accepting new patients

Locations

1 Clara Maass Dr
Ste 200
Belleville, NJ 07109
Phone (973) 744-8000

36 Newark Ave
Ste 304
Belleville, NJ 07109
Phone (973) 751-8880

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

180 White Rd
Ste 106
Little Silver, NJ 07739
Phone (201) 510-0904

2010 Springfield Ave
Maplewood, NJ 07040
Phone (973) 275-9500

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

1 Bay Ave
Ste 2
Montclair, NJ 07042
Phone (201) 792-9011

175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660

776 E 3rd Ave
Roselle, NJ 07203
Phone (908) 241-5545

500 Frank W Burr Blvd
#560
Teaneck, NJ 07666

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.

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582848000000",
    "number": "1780676759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CLARA MAASS DR STE 200",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071093550",
            "telephone_number": "973-751-8880",
            "fax_number": "973-751-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CLARA MAASS DR STE 200",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071093550",
            "telephone_number": "973-751-8880",
            "fax_number": "973-751-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YERRAMALLI",
        "first_name": "SITAMAHALAKSHMI",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "25MA03850700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0154709",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, NJ

Sources for this page

Verify at the official NPI Registry.