Individual provider Active NPI

Saumya Valasareddi, DO

  • Adult Medicine Physician
  • Hoboken, NJ
National Provider Identifier
1962145060
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
25MA12816600 Issued in NJ
Practice address
1425 Bloomfield St
Hoboken, NJ 07030-5505
Phone
(516) 359-2665
NPI assigned
Apr 16, 2022
Last updated
Sep 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 25MA12816600 NJ Primary

Addresses

Primary practice location

1425 Bloomfield St
Hoboken, NJ 07030-5505

Mailing address

1025 Maxwell LN
Hoboken, NJ 07030-6823
Phone (516) 359-2665

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL clear

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250930000215 NJ Practitioner - Family Practice 9537665526 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

935 River Rd
Suite 301
Edgewater, NJ 07020-2233
Phone (201) 471-7012

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA12816600NJMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care of New Jersey PC CurrentSince Oct 1, 2025 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Oct 1, 2025 Accepting new patients
Riverside Medical Group Past Accepting new patients

Locations

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

Interoperability endpoints

  • Direct secure messaging: svalasareddi154736@direct.optum.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1650067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1962145060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 MAXWELL LN",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070306823",
            "telephone_number": "516-359-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 BLOOMFIELD ST",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305505",
            "telephone_number": "516-359-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALASAREDDI",
        "first_name": "SAUMYA",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-16",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NJ",
            "license": "25MA12816600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "clear",
            "affiliation": "N",
            "address_1": "118 Serpentine Ln",
            "city": "Albertson",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115071117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

Verify at the official NPI Registry.