Individual provider Active NPI

Anu Venkat, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • New Brunswick, NJ
National Provider Identifier
1992720866
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
MD426837 Issued in PA
Practice address
254 Easton Ave
New Brunswick, NJ 08901-1766
Phone
(732) 339-7870
Fax
(732) 214-9186
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD426837 PA
Neurology Physician 2084N0400X MD426837 PA
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X MD426837 PA Primary

Addresses

Primary practice location

254 Easton Ave
New Brunswick, NJ 08901-1766

Mailing address

254 Easton Ave
New Brunswick, NJ 08901-1766
Phone (732) 339-7870

Other names 1

  • Anuradha Venkatasubramamian Former name

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
I20061030000002 NJ Practitioner - NeurologyPractitioner - Pediatric Medicine 4486651734 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD426837PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Peter'S University Hospital CurrentSince Jan 21, 2014 Accepting new patients
Saint Peter'S University Hospital CurrentSince Jan 21, 2014 Accepting new patients
Childrens Health Care Associates of New Jersey PC Pediatrics Past Accepting new patients

Locations

254 Easton Ave
Ofc
New Brunswick, NJ 08901
Phone (732) 745-6674

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453

123 How Ln
New Brunswick, NJ 08901
Phone (732) 448-1000

254 Easton Ave
Fl 2
New Brunswick, NJ 08901
Phone (732) 846-2855

125 Paterson St
New Brunswick, NJ 08901
Phone (732) 235-6511

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4
  • Direct secure messaging: anu.venkat.1@8568.direct.athenahealth.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1992720866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 EASTON AVE",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011766",
            "telephone_number": "732-339-7870",
            "fax_number": "732-214-9186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 EASTON AVE",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011766",
            "telephone_number": "732-339-7870",
            "fax_number": "732-214-9186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENKAT",
        "first_name": "ANU",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD426837",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD426837",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "PA",
            "license": "MD426837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANURADHA",
            "last_name": "VENKATASUBRAMAMIAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.