Organization Active NPI

Mamidi Arunima MD LLC

Doing business as Princeton Infectious Diseases Associates LLC

  • Infectious Disease Physician
  • Plainsboro, NJ
National Provider Identifier
1841207578
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MA068633 Issued in NJ
Legal business name
MAMIDI ARUNIMA MD LLC
Doing business as
Princeton Infectious Diseases Associates LLC
Practice address
5 Plainsboro Road
Suite 360
Plainsboro, NJ 08536-1913
Phone
(609) 750-0011
Fax
(609) 750-0011
NPI assigned
Aug 2, 2006
Last updated
Aug 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Authorized official

Name
Arunima MamidiNPI 1730196478
Title
Physician
Phone
(609) 371-4666

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X MA068633 NJ Primary

Addresses

Primary practice location

5 Plainsboro Road
Suite 360
Plainsboro, NJ 08536-1913

Mailing address

PO Box 145
Blawenburg, NJ 08504
Phone (609) 371-4666

Other names 1

  • PRINCETON INFECTIOUS DISEASES ASSOCIATES LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090402000400 NJ Part B Supplier - Clinic/Group Practice 5698822922 Receives reassigned benefits from 8 practitioners
Practice locations: Plainsboro, NJ
O20250213003360 PA Part B Supplier - Clinic/Group Practice 5698822922 Receives reassigned benefits from 2 practitioners
Practice locations: Bristol, PA

National Provider Directory

National Provider Directory

Locations

300B Princeton Hightstown Rd
Ste 104
East Windsor, NJ 08520
Phone (609) 371-4666

1445 Whitehorse Mercerville Rd
Ste 104
Trenton, NJ 08619
Phone (609) 371-4666

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1841207578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 145",
            "city": "BLAWENBURG",
            "state": "NJ",
            "postal_code": "08504",
            "telephone_number": "609-371-4666",
            "fax_number": "609-443-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PLAINSBORO ROAD",
            "address_2": "SUITE 360",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085361913",
            "telephone_number": "609-750-0011",
            "fax_number": "609-750-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAMIDI ARUNIMA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "MAMIDI",
        "authorized_official_first_name": "ARUNIMA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "609-371-4666"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "MA068633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRINCETON INFECTIOUS DISEASES ASSOCIATES LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plainsboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.