Individual provider Active NPI

Geetha Gurrala, M.D

  • Pediatrics Physician
  • Edison, NJ
National Provider Identifier
1942262498
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA09726400 Issued in NJ
Practice address
65 James St
Edison, NJ 08820-3903
Phone
(732) 321-7000
NPI assigned
Apr 3, 2006
Last updated
Mar 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 1021885 MA
Pediatrics Physician 208000000X 25MA09726400 NJ Primary

Addresses

Primary practice location

65 James St
Edison, NJ 08820-3903

Mailing address

65 James St
Edison, NJ 08820-3903

Other practice location 1

300 Longwood Ave
Boston, MA 02115-5724
Phone (617) 355-6000

Other identifiers 1

IdentifierTypeStateIssuer
048999MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151211000556 NJ Practitioner - Pediatric Medicine 7315071644 Reassigns benefits to 6 organizations
I20250317002527 MA Practitioner - Pediatric Medicine 7315071644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Middlesex Emergency Physicians, P.a.Group PAC ID 9931002854, 41 clinicians

Practice addresses (Care Compare)

65 James St
Edison, NJ 08818-3903
Phone (732) 321-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Physicians of New Haven County,LLC Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
Passaic River Physicians, LLC Emergency Medicine CurrentSince Dec 1, 2025 Accepting new patients
Children's Hospital Pediatric Associates, Inc Pediatrics CurrentSince Mar 10, 2025 Accepting new patients
Emergency Physician Associates of North Jersey P C Emergency Medicine CurrentSince Nov 5, 2016 Accepting new patients
Passaic River Observation, LLC Emergency Medicine CurrentSince Dec 1, 2025 Accepting new patients
Plainfield Emergency Physicians, PA Emergency Medicine CurrentSince Apr 1, 2020 Accepting new patients
Emergency Medicine Physicians of Fairfield County, LLC Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
Barron Emergency Physicians LLC Emergency Medicine CurrentSince Nov 17, 2015 Accepting new patients
Middlesex Emergency Physicians, P.a. Emergency Medicine CurrentSince Feb 1, 2018 Accepting new patients
Passaic River Physicians, LLC Emergency Medicine CurrentSince Dec 1, 2025 Accepting new patients
Community Care Physicians, PC Pediatrics Past Accepting new patients
Community Care Physicians, PLLC Past Accepting new patients
Community Care Physicians, PC Pediatrics PastSince Jan 1, 1998 Accepting new patients

Locations

1 Hospital Plz
Stamford, CT 06902
Phone (203) 276-4925

32 Strawberry Hill Ct
Stamford, CT 06902
Phone (203) 276-2000

300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956

65 James St
Edison, NJ 08820
Phone (732) 321-7010

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1942262498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 JAMES ST",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 JAMES ST",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203903",
            "telephone_number": "732-321-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Longwood Ave",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021155724",
            "country_code": "US",
            "telephone_number": "617-355-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GURRALA",
        "first_name": "GEETHA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "1021885",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA09726400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048999",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.