Active NPI
Raj Nandan Chennuri, M.B.B.S
- Student in an Organized Health Care Education/Training Program
- Denville, NJ
National Provider Identifier
1982441002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 25 Pocono Road
St Clare'S Health, Graduate Medical Education
Denville, NJ 07834 - Phone
- (973) 365-4661
- NPI assigned
- Jul 15, 2024
- Reactivated
- May 13, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
25 Pocono Road
St Clare'S Health, Graduate Medical Education
Denville, NJ 07834
Mailing address
25 Pocono Road
St Clare'S Health, Graduate Medical Education
Denville, NJ 07834
Phone (973) 365-4661
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747094400000",
"number": "1982441002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 POCONO ROAD",
"address_2": "ST CLARE'S HEALTH, GRADUATE MEDICAL EDUCATION",
"city": "DENVILLE",
"state": "NJ",
"postal_code": "07834",
"telephone_number": "973-365-4661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 POCONO ROAD",
"address_2": "ST CLARE'S HEALTH, GRADUATE MEDICAL EDUCATION",
"city": "DENVILLE",
"state": "NJ",
"postal_code": "07834",
"telephone_number": "973-365-4661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHENNURI",
"first_name": "RAJ",
"middle_name": "NANDAN",
"name_prefix": "Mr.",
"credential": "M.B.B.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-15",
"last_updated": "2025-05-13",
"deactivation_date": "2025-05-12",
"reactivation_date": "2025-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.