Active NPIIndividual provider

Kamal Addagatla, MD

Surgery, Plastic and Reconstructive Surgery in Clifton, New Jersey

NPI Number1730522061
Practice location
1255 Broad St, Clifton, NJ 07013-3398
Fax
833-578-2190
Last updated
June 19, 2026

Kamal Addagatla is a Surgery, Plastic and Reconstructive Surgery based in Clifton, NJ. Kamal Addagatla practices in Clifton, NJ and has the professional credentials of MD. The NPI Number for Kamal Addagatla is 1730522061 and holds a License No. 336911-01 (NY). The current practice location address for Kamal Addagatla is 1255 Broad St, Clifton, NJ 07013-3398 and can be reached out via phone at 973-327-9584 and via fax at 833-578-2190.

Provider Profile Details

NPI Number
1730522061
Provider Name
Kamal Addagatla
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1255 Broad St, Clifton, NJ 07013-3398
Phone Number
973-327-9584
Fax Number
833-578-2190
Primary Taxonomy
Surgery, Plastic and Reconstructive Surgery · 2086S0122X
Sole Proprietor
No
Provider Enumeration Date
April 17, 2013
Last Update Date
June 19, 2026
Certification Date
June 19, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1255 Broad St
Clifton, NJ 07013-3398
Zip
07013-3398
Phone Number
973-327-9584
Fax Number
833-578-2190
Clifton, NJ 07013Get directions →

Provider Business Mailing Address Details

Address
800 Westchester Ave Ste S512
Rye Brook, NY 10573-1369
City
Rye Brook
State
NY
Zip
10573-1369
Phone Number
914-800-1022
Fax Number
914-800-1021

License Information

License Number
336911-01
License State
NY
Taxonomy
Surgery, Plastic and Reconstructive Surgery · 2086S0122X · 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 Kamal Addagatla, MD?

The NPI number of Kamal Addagatla, MD is 1730522061. It was assigned on April 17, 2013 and is currently active in the NPPES registry.

What is the specialty of Kamal Addagatla, MD?

Kamal Addagatla, MD is registered under the primary taxonomy Surgery, Plastic and Reconstructive Surgery (code 2086S0122X), licensed in NY under license number 336911-01.

Where does Kamal Addagatla, MD practice?

The practice location is 1255 Broad St, Clifton, NJ 07013-3398. The office can be reached at 973-327-9584 (phone) or 833-578-2190 (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 1730522061 directly on the NPPES registry website.

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