Pavani Mahadass, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

25MA03118700 Issued in NJ

Practice address

22 Michael Way
Pennington, NJ 08534-9606

Phone

(609) 737-3811

Fax

(609) 737-3080

NPI assigned

Jul 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902825094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MICHAEL WAY",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085349606",
            "telephone_number": "609-737-3811",
            "fax_number": "609-737-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MICHAEL WAY",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085349606",
            "telephone_number": "609-737-3811",
            "fax_number": "609-737-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHADASS",
        "first_name": "PAVANI",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA03118700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1390503",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Lynch, APN
• Nina Lynch, NP
• Tyler Michael Macdonald, MOT, OTR/L
• Jonathan H. Mack, PSY.D.
• Kelly Maguire, CCC-SLP
• Pamela Maisey, DO
• Jenna Mancinelli, D.O.
• Alicia McKenzie Mangin, MPH, PA-C
• David Mangone
• Radhika Manne, MD

• Surgery Physician in Pennington, NJ
• Providers in Pennington, NJ by specialty
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.