Individual provider Active NPI

Sriharshan Reddy

  • Internal Medicine Physician
  • Long Branch, NJ
National Provider Identifier
1972948016
Registry record updated Nov 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA09851200 Issued in NJ
Practice address
300 2ND Ave
Monmouth
Long Branch, NJ 07740-6303
Phone
(732) 923-6537
NPI assigned
May 2, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 25MA09851200 NJ Primary

Addresses

Primary practice location

300 2ND Ave
Monmouth
Long Branch, NJ 07740-6303

Mailing address

285 Plantation St Apt 407
Worcester, MA 01604-7710
Phone (508) 981-1603

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
I20160909000723 NJ Practitioner - Internal MedicinePractitioner - Hospitalist 9133415631 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooper Physician Offices PAGroup PAC ID 2860396611, 326 clinicians
State of New Jersey Omb Centralized PayrollGroup PAC ID 6406742592, 129 clinicians

Practice addresses (Care Compare)

1 Cooper PLZ
Camden, NJ 08103-1461
Phone (856) 342-3150

301 Spring Garden Rd
Hammonton, NJ 08037-2516
Phone (609) 561-1700

Hospital & facility affiliations

  • Inspira Medical Center Mullica Hill Hospital, Elmer, NJ, CCN 310069
  • West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022
  • Inspira Medical Center Vineland Hospital, Vineland, NJ, CCN 310032
  • Cooper University Hospital Hospital, Camden, NJ, CCN 310014

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
State of New Jersey Omb Centralized Payroll CurrentSince May 23, 2022 Accepting new patients
Atlanticare Physician Group, PA CurrentSince Oct 30, 2016 Accepting new patients
Capital Health Multispecialty Group Internal Medicine CurrentSince May 1, 2020 Accepting new patients
Cooper Physician Offices, PA Internal Medicine CurrentSince Aug 1, 2021 Accepting new patients
Atlanticare Physician Group PA Current Accepting new patients
Atlanticare Physician Group CurrentSince Oct 30, 2016 Accepting new patients
Community Health Care, Inc. Internal Medicine CurrentSince Mar 29, 2024 Accepting new patients
State of New Jersey Omb Centralized Payroll CurrentSince May 23, 2022 Accepting new patients
Community Health Care, Inc. CurrentSince Mar 29, 2024 Accepting new patients
Inspira Medical Centers, Inc. Past Accepting new patients

Locations

1925 Pacific Ave
Atlantic City, NJ 08401
Phone (609) 441-8023

14 N Pearl St
Bridgeton, NJ 08302
Phone (856) 340-9830

30 N Pearl St
Bridgeton, NJ 08302

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

1210 Brace Rd
Cherry Hill, NJ 08034
Phone (609) 428-6616

335 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 863-5720

301 Spring Garden Rd
Hammonton, NJ 08037
Phone (609) 561-1700

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414

310 Salem Woodstown Rd
Salem, NJ 08079
Phone (856) 339-6054

750 Brunswick Ave
Trenton, NJ 08638
Phone (609) 394-6000

1501 W Sherman Ave
Vineland, NJ 08360
Phone (856) 641-7790

509 N Broad St
Woodbury, NJ 08096
Phone (856) 686-5396

Organizations & group practices 10

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

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1367452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1972948016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 PLANTATION ST APT 407",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016047710",
            "telephone_number": "508-981-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 2ND AVE",
            "address_2": "MONMOUTH",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406303",
            "telephone_number": "732-923-6537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "SRIHARSHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-02",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA09851200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Branch, NJ

Sources for this page

Verify at the official NPI Registry.