Padmavathi Jonnalagadda MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA07442900 Issued in NJ

Legal business name

PADMAVATHI JONNALAGADDA MD PA

Practice address

3438 John F Kennedy Blvd
Jersey City, NJ 07307-4166

Phone

(201) 420-0366

Fax

(201) 420-6422

NPI assigned

Jul 7, 2005

Organization subpart

No

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

Authorized official

Name

Padmavathi Jonnalagadda, MDNPI 1144228891

Title

President

Phone

(201) 420-0366

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Padmavathi Jonnalagadda, MD

  • Internal Medicine Physician
  • Jersey City, NJ
  • NPI 1144228891
  Medicare reassignment Care Compare group NPD Authorized official
• Vasudevarao Jonnalagadda, MD

  • Nephrology Physician
  • Jersey City, NJ
  • NPI 1669470308
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1821096504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3438 JOHN F KENNEDY BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073074166",
            "telephone_number": "201-420-0366",
            "fax_number": "201-420-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3438 JOHN F KENNEDY BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073074166",
            "telephone_number": "201-420-0366",
            "fax_number": "201-420-6422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PADMAVATHI JONNALAGADDA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "JONNALAGADDA",
        "authorized_official_first_name": "PADMAVATHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-420-0366",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07442900",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA06324000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP #",
            "identifier": "DB2462",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0036536",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• P.D.Gor MD PA.
• P&S Dental
• P&S Dental LLC
• Danielle M Pace Weber, APN - BC
• Leslie Ann Padilla, RN
• Andrew Sang Paek, D.D.S.
• Melissa N Pagan, DNP
• Danielle Pagano, DPT
• Sylvia R. Pagulayan, M.D.
• Linsey Francesca Paik, L.AC

• Internal Medicine Physician in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.