Individual provider Active NPI

Lakshmi Devi Nadiminti, D.O.

  • Neurology Physician
  • Ny, NY
National Provider Identifier
1801055660
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
235469 Issued in NY
Practice address
460 West 34TH Street
Premier Healthcare
Ny, NY 10001-2382
Phone
(212) 273-6100
NPI assigned
Jun 6, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 235469 NY Primary

Addresses

Primary practice location

460 West 34TH Street
Premier Healthcare
Ny, NY 10001-2382

Mailing address

460 West 34TH Street
Premier Healthcare
Ny, NY 10001-2382
Phone (212) 273-6100

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
I20130717000016 NJ Practitioner - Neurology 8628138344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Midwestern University, Chicago College of Osteopathic Med, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garden State Neurology and Neuro-Oncology, PCGroup PAC ID 0840214474, 4 clinicians

Practice addresses (Care Compare)

9 Hospital Dr
A7
Toms River, NJ 08755-6425
Phone (732) 341-0200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Garden State Neurology and Neuro-Oncology, PC Neurology CurrentSince May 20, 2013 Accepting new patients

Locations

9 Hospital Dr
Ste A7
Toms River, NJ 08755
Phone (732) 341-0200

842 Broadway
West Long Branch, NJ 07764
Phone (732) 222-0180

100 State Route 36
Ste 1A
West Long Branch, NJ 07764
Phone (732) 229-6200

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IJEBAA

Organizations & group practices 1

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": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335398400000",
    "number": "1801055660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 WEST 34TH STREET",
            "address_2": "PREMIER HEALTHCARE",
            "city": "NY",
            "state": "NY",
            "postal_code": "100012382",
            "telephone_number": "212-273-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 WEST 34TH STREET",
            "address_2": "PREMIER HEALTHCARE",
            "city": "NY",
            "state": "NY",
            "postal_code": "100012382",
            "telephone_number": "212-273-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADIMINTI",
        "first_name": "LAKSHMI",
        "middle_name": "DEVI",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-06",
        "last_updated": "2012-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "235469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ny, NY

Sources for this page

Verify at the official NPI Registry.