| Padmavathi Jonnalagadda,mdpa | |
|
3438 John F Kennedy Blvd Jersey City NJ 07307-4166 | |
| (201) 420-0366 | |
| (201) 420-6422 |
| Full Name | Padmavathi Jonnalagadda,mdpa |
|---|---|
| Speciality | Internal Medicine |
| Location | 3438 John F Kennedy Blvd, Jersey City, New Jersey |
| Authorized Official Name and Position | Padmavathi Jonnalagadda (PRESIDENT) |
| Authorized Official Contact | 2014200366 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Padmavathi Jonnalagadda,mdpa 3438 John F Kennedy Blvd Jersey City NJ 07307-4166 Ph: (201) 420-0366 | Padmavathi Jonnalagadda,mdpa 3438 John F Kennedy Blvd Jersey City NJ 07307-4166 Ph: (201) 420-0366 |
| NPI Number | 1821096504 |
|---|---|
| Provider Enumeration Date | 07/07/2005 |
| Last Update Date | 01/25/2012 |
| Medicare PECOS PAC ID | 9234126228 |
|---|---|
| Medicare Enrollment ID | O20040430000056 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821096504 | NPI | - | NPPES |
| DB2462 | Other | NJ | RAILROAD MEDICARE GROUP # |
| 0036536 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA07442900 (New Jersey) | Primary |
| 207RN0300X | Internal Medicine - Nephrology | 25MA06324000 (New Jersey) | Secondary |
| Provider Name | Vasudevarao Jonnalagadda |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1669470308 PECOS PAC ID: 1456349919 Enrollment ID: I20040504000150 |
| Provider Name | Padmavathi Jonnalagadda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144228891 PECOS PAC ID: 0941297931 Enrollment ID: I20040504000312 |
Dr Mangia Associates Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 239 Washington Street, Jersey City, NJ 07302 Phone: 201-521-1100 | |
Monarch Medical Professionals Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 Route 440 Ste 33, Jersey City, NJ 07304 Phone: 201-435-4558 Fax: 201-435-4588 | |
Alpine Medical Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 634 Summit Ave, Jersey City, NJ 07306 Phone: 201-222-9370 Fax: 201-222-9392 | |
Hudson Internal Medicine Of Jersey City Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1971 John F Kennedy Blvd, Jersey City, NJ 07305 Phone: 201-432-5222 Fax: 204-432-2503 | |
Ayra Primary Care Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 35 Journal Square Plaza, Suite 502, Jersey City, NJ 07306 Phone: 201-763-7521 Fax: 201-763-7393 | |
Nyl Wellness Center Jersey City Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Hudson St Fl 30, Jersey City, NJ 07302 Phone: 201-942-2200 Fax: 201-685-6702 | |
Michelle Reisner, M.d., L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 196 Jewett Ave, Jersey City, NJ 07304 Phone: 201-332-3354 Fax: 201-536-9047 |