Active NPI
Renovance Health Weight Management and Obesity Medicine LLC
- Internal Medicine Physician
- Marlton, NJ
National Provider Identifier
1912814146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- RENOVANCE HEALTH WEIGHT MANAGEMENT AND OBESITY MEDICINE LLC
- Practice address
- 525 Route 73 N Ste 117
Marlton, NJ 08053-3422 - Phone
- (732) 561-5685
- NPI assigned
- Aug 25, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Venkata Shilpa Reddy Kalli, MD
- Title
- Owner
- Phone
- (732) 561-5685
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
525 Route 73 N Ste 117
Marlton, NJ 08053-3422
Mailing address
66 Applegate Way
Chesterfield, NJ 08515-9636
Other names 1
- Renovance Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787616000000",
"number": "1912814146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 APPLEGATE WAY",
"city": "CHESTERFIELD",
"state": "NJ",
"postal_code": "085159636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 ROUTE 73 N STE 117",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080533422",
"telephone_number": "732-561-5685"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENOVANCE HEALTH WEIGHT MANAGEMENT AND OBESITY MEDICINE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-25",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A",
"authorized_official_last_name": "KALLI",
"authorized_official_first_name": "VENKATA SHILPA REDDY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "732-561-5685",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Renovance Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Marlton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.