Organization Active NPI

Renovance Health Weight Management and Obesity Medicine LLC

  • Internal Medicine Physician
  • Marlton, NJ
National Provider Identifier
1912814146
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Aug 25, 2026

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

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.

Verify at the official NPI Registry.