Active NPIIndividual providerSole proprietor

Dr. Padmavathy Alli, DO

Surgery in Bloomfield, New Jersey

NPI Number1891869483
Practice location
557 Broad St, Suite 22, Bloomfield, NJ 07003-2885
Fax
973-429-9858
Last updated
July 8, 2007

Padmavathy Alli is a Surgery based in Bloomfield, NJ. Padmavathy Alli practices in Bloomfield, NJ and has the professional credentials of DO. The NPI Number for Padmavathy Alli is 1891869483 and holds a License No. MB63954 (NJ). The current practice location address for Padmavathy Alli is 557 Broad St, Suite 22, Bloomfield, NJ 07003-2885 and can be reached out via phone at 973-429-9844 and via fax at 973-429-9858.

Provider Profile Details

NPI Number
1891869483
Provider Name
Padmavathy Alli
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
557 Broad St, Suite 22, Bloomfield, NJ 07003-2885
Phone Number
973-429-9844
Fax Number
973-429-9858
Primary Taxonomy
Surgery · 208600000X
Sole Proprietor
Yes
Provider Enumeration Date
November 17, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
557 Broad St
Suite 22
Bloomfield, NJ 07003-2885
Zip
07003-2885
Phone Number
973-429-9844
Fax Number
973-429-9858
Bloomfield, NJ 07003Get directions →

Provider Business Mailing Address Details

Address
557 Broad St
Suite 22
Bloomfield, NJ 07003-2885
City
Bloomfield
State
NJ
Zip
07003-2885
Phone Number
973-429-9844
Fax Number
973-429-9858

License Information

License Number
MB63954
License State
NJ
Taxonomy
Surgery · 208600000X · 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 Dr. Padmavathy Alli, DO?

The NPI number of Dr. Padmavathy Alli, DO is 1891869483. It was assigned on November 17, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Padmavathy Alli, DO?

Dr. Padmavathy Alli, DO is registered under the primary taxonomy Surgery (code 208600000X), licensed in NJ under license number MB63954.

Where does Dr. Padmavathy Alli, DO practice?

The practice location is 557 Broad St, Suite 22, Bloomfield, NJ 07003-2885. The office can be reached at 973-429-9844 (phone) or 973-429-9858 (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 1891869483 directly on the NPPES registry website.

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