Active NPIIndividual provider

Madhuri Ponnaluri

Nurse Practitioner, Pediatrics in Newark, New Jersey

NPI Number1083387591
Practice location
741 Broadway, Newark, NJ 07104-4309
Fax
973-676-1396
Last updated
March 14, 2024

Madhuri Ponnaluri is a Nurse Practitioner, Pediatrics based in Newark, NJ. Madhuri Ponnaluri practices in Newark, NJ. The NPI Number for Madhuri Ponnaluri is 1083387591 and holds a License No. 26NJ01197700 (NJ). The current practice location address for Madhuri Ponnaluri is 741 Broadway, Newark, NJ 07104-4309 and can be reached out via phone at 973-483-1300 and via fax at 973-676-1396.

Provider Profile Details

NPI Number
1083387591
Provider Name
Madhuri Ponnaluri
Provider Entity Type
Individual
Gender
Female
Address
741 Broadway, Newark, NJ 07104-4309
Phone Number
973-483-1300
Fax Number
973-676-1396
Primary Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X
Sole Proprietor
No
Provider Enumeration Date
July 29, 2021
Last Update Date
March 14, 2024
Certification Date
March 14, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
741 Broadway
Newark, NJ 07104-4309
City
Newark
Zip
07104-4309
Phone Number
973-483-1300
Fax Number
973-676-1396
Newark, NJ 07104Get directions →

Provider Business Mailing Address Details

Address
741 Broadway
Newark, NJ 07104-4309
City
Newark
State
NJ
Zip
07104-4309
Phone Number
973-483-1300
Fax Number
973-676-1396

License Information

License Number
26NJ01197700
License State
NJ
Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X · 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 Madhuri Ponnaluri?

The NPI number of Madhuri Ponnaluri is 1083387591. It was assigned on July 29, 2021 and is currently active in the NPPES registry.

What is the specialty of Madhuri Ponnaluri?

Madhuri Ponnaluri is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in NJ under license number 26NJ01197700.

Where does Madhuri Ponnaluri practice?

The practice location is 741 Broadway, Newark, NJ 07104-4309. The office can be reached at 973-483-1300 (phone) or 973-676-1396 (fax).

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 1083387591 directly on the NPPES registry website.

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