Active NPIIndividual providerSole proprietor

Medha Dommaraju

Psychiatry & Neurology, Psychiatry in Neptune, New Jersey

NPI Number1073193884
Practice location
1945 State Route 33, Neptune, NJ 07753-4859
Fax
—
Last updated
September 5, 2026

Medha Dommaraju is a Psychiatry & Neurology, Psychiatry based in Neptune, NJ. Medha Dommaraju practices in Neptune, NJ. The NPI Number for Medha Dommaraju is 1073193884 and holds a License No. MD496053 (PA). The current practice location address for Medha Dommaraju is 1945 State Route 33, Neptune, NJ 07753-4859 and can be reached out via phone at 732-775-5500.

Provider Profile Details

NPI Number
1073193884
Provider Name
Medha Dommaraju
Provider Entity Type
Individual
Gender
Female
Address
1945 State Route 33, Neptune, NJ 07753-4859
Phone Number
732-775-5500
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Sole Proprietor
Yes
Provider Enumeration Date
April 14, 2021
Last Update Date
September 5, 2026
Certification Date
September 5, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1945 State Route 33
Neptune, NJ 07753-4859
Zip
07753-4859
Phone Number
732-775-5500
Neptune, NJ 07753Get directions →

Provider Business Mailing Address Details

Address
33 Allegheny Ln
Bordentown, NJ 08505-4445
City
Bordentown
State
NJ
Zip
08505-4445
Phone Number
609-576-7775

License Information

License Number
MD496053
License State
PA
Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Medha Dommaraju?

The NPI number of Medha Dommaraju is 1073193884. It was assigned on April 14, 2021 and is currently active in the NPPES registry.

What is the specialty of Medha Dommaraju?

Medha Dommaraju is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in PA under license number MD496053.

Where does Medha Dommaraju practice?

The practice location is 1945 State Route 33, Neptune, NJ 07753-4859. The office can be reached at 732-775-5500 (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 1073193884 directly on the NPPES registry website.

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