Dr. Pratika Mikkilineni, MD
Pediatrics, Adolescent Medicine in Montclair, New Jersey
1053040162- Practice location
- 1 Seymour St, Montclair, NJ 07042-3771
- Phone
- 973-744-6939
- Fax
- —
- Last updated
- August 26, 2025
Pratika Mikkilineni is a Pediatrics, Adolescent Medicine based in Montclair, NJ. Pratika Mikkilineni practices in Montclair, NJ and has the professional credentials of MD. The NPI Number for Pratika Mikkilineni is 1053040162 and holds a License No. 25MA12725400 (NJ). The current practice location address for Pratika Mikkilineni is 1 Seymour St, Montclair, NJ 07042-3771 and can be reached out via phone at 973-744-6939.
Provider Profile Details
- NPI Number
- 1053040162
- Provider Name
- Pratika Mikkilineni
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1 Seymour St, Montclair, NJ 07042-3771
- Phone Number
- 973-744-6939
- Primary Taxonomy
- Pediatrics, Adolescent Medicine · 2080A0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 6, 2022
- Last Update Date
- August 26, 2025
- Certification Date
- August 26, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Seymour St
Montclair, NJ 07042-3771 - City
- Montclair
- State
- New Jersey
- Zip
- 07042-3771
- Phone Number
- 973-744-6939
Provider Business Mailing Address Details
- Address
- 120 Briarcliff Dr
Morganville, NJ 07751-2051 - City
- Morganville
- State
- NJ
- Zip
- 07751-2051
- Phone Number
- 732-332-0806
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 25MA12725400
- License State (2)
- NJ
- Taxonomy (2)
- Pediatrics, Adolescent Medicine · 2080A0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics, Adolescent Medicine providers near Montclair, NJ
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Frequently Asked Questions
What is the NPI number of Dr. Pratika Mikkilineni, MD?
The NPI number of Dr. Pratika Mikkilineni, MD is 1053040162. It was assigned on June 6, 2022 and is currently active in the NPPES registry.
What is the specialty of Dr. Pratika Mikkilineni, MD?
Dr. Pratika Mikkilineni, MD is registered under the primary taxonomy Pediatrics, Adolescent Medicine (code 2080A0000X), licensed in NJ under license number 25MA12725400.
Where does Dr. Pratika Mikkilineni, MD practice?
The practice location is 1 Seymour St, Montclair, NJ 07042-3771. The office can be reached at 973-744-6939 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053040162 directly on the NPPES registry website.