Active NPIIndividual provider

Neethu Gopisetti, MD

Internal Medicine, Nephrology in Brick, New Jersey

NPI Number1366977324
Practice location
210 Jack Martin Blvd Ste D1, Brick, NJ 08724-3063
Fax
732-458-8012
Last updated
September 6, 2022

Neethu Gopisetti is an Internal Medicine, Nephrology based in Brick, NJ. Neethu Gopisetti practices in Brick, NJ and has the professional credentials of MD. The NPI Number for Neethu Gopisetti is 1366977324 and holds a License No. MT212548 (PA). The current practice location address for Neethu Gopisetti is 210 Jack Martin Blvd Ste D1, Brick, NJ 08724-3063 and can be reached out via phone at 732-458-5854 and via fax at 732-458-8012.

Provider Profile Details

NPI Number
1366977324
Provider Name
Neethu Gopisetti
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
210 Jack Martin Blvd Ste D1, Brick, NJ 08724-3063
Phone Number
732-458-5854
Fax Number
732-458-8012
Primary Taxonomy
Internal Medicine, Nephrology · 207RN0300X
Sole Proprietor
No
Provider Enumeration Date
April 27, 2017
Last Update Date
September 6, 2022
Certification Date
September 6, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
210 Jack Martin Blvd Ste D1
Brick, NJ 08724-3063
City
Brick
Zip
08724-3063
Phone Number
732-458-5854
Fax Number
732-458-8012
Brick, NJ 08724Get directions →

Provider Business Mailing Address Details

Address
210 Jack Martin Blvd Ste D1
Brick, NJ 08724-3063
City
Brick
State
NJ
Zip
08724-3063
Phone Number
732-458-5854
Fax Number
732-458-8012

License Information

License Number (1)
MT212548
License State (1)
PA
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
25MA11355500
License State (2)
NJ
Taxonomy (2)
Internal Medicine, Nephrology · 207RN0300X · Primary

Legacy Identifiers

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

Other Internal Medicine, Nephrology providers near Brick, NJ

View all Internal Medicine, Nephrology providers in Brick →

Frequently Asked Questions

What is the NPI number of Neethu Gopisetti, MD?

The NPI number of Neethu Gopisetti, MD is 1366977324. It was assigned on April 27, 2017 and is currently active in the NPPES registry.

What is the specialty of Neethu Gopisetti, MD?

Neethu Gopisetti, MD is registered under the primary taxonomy Internal Medicine, Nephrology (code 207RN0300X), licensed in PA under license number MT212548.

Where does Neethu Gopisetti, MD practice?

The practice location is 210 Jack Martin Blvd Ste D1, Brick, NJ 08724-3063. The office can be reached at 732-458-5854 (phone) or 732-458-8012 (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 1366977324 directly on the NPPES registry website.

Browse related providers