Individual provider Active NPI

Kavita K Bupathi, MD

  • Pediatrics Physician
  • Woodbridge, NJ
National Provider Identifier
1992732135
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MAO69857 Issued in NJ
Practice address
1 Woodbridge Center
Suite 405
Woodbridge, NJ 07095
Phone
(732) 650-0350
Fax
(732) 650-0354
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MAO69857 NJ Primary

Addresses

Primary practice location

1 Woodbridge Center
Suite 405
Woodbridge, NJ 07095

Mailing address

1 Woodbridge Center
Suite #405
Woodbridge, NJ 07095
Phone (732) 326-0363

Other identifiers 1

IdentifierTypeStateIssuer
8054401MedicaidNJ

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MAO69857NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kavita Bupathi MD LLC Pediatrics PastSince Jan 14, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: deepas@kavitabupathi.kareodirect.com
  • Direct secure messaging: rohinirajaraman@kavitabupathi.kareodirect.com
  • Direct secure messaging: dipti@kavitabupathi.kareodirect.com

Organizations & group practices 1

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992732135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WOODBRIDGE CENTER",
            "address_2": "SUITE #405",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "07095",
            "telephone_number": "732-326-0363",
            "fax_number": "732-326-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WOODBRIDGE CENTER",
            "address_2": "SUITE 405",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "07095",
            "telephone_number": "732-650-0350",
            "fax_number": "732-650-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUPATHI",
        "first_name": "KAVITA",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MAO69857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8054401",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.