Individual provider Active NPI

Ajitha Damodaranpillai

  • Registered Nurse
  • New Milford, NJ
National Provider Identifier
1831511880
Registry record updated Jan 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
594858 Issued in NY
Practice address
637 Harvard St
New Milford, NJ 07646-2906
Phone
(917) 428-6282
NPI assigned
Jan 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NRI14581300 NJ
Registered Nurse 163W00000X 594858 NY Primary
Registered Nurse 163W00000X 9347602 FL

Addresses

Primary practice location

637 Harvard St
New Milford, NJ 07646-2906

Mailing address

637 Harvard St
New Milford, NJ 07646-2906
Phone (917) 428-6282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9347602FLMDRegistered Nurse
26NRI14581300NJMDRegistered Nurse
594858NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389312000000",
    "number": "1831511880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 HARVARD ST",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076462906",
            "telephone_number": "917-428-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 HARVARD ST",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076462906",
            "telephone_number": "917-428-6282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMODARANPILLAI",
        "first_name": "AJITHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-10",
        "last_updated": "2014-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NRI14581300",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "594858",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9347602",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Milford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; 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.