DR. LIKHITHA MUSUNURU (NPI# 1063916880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063916880 |
| Entity Type | Individual |
| Full Name | DR. LIKHITHA MUSUNURU |
| Credential | MD |
| Practice Address |
75 W Red Bank Ave Woodbury NJ 08096-1694 |
| Practice Telephone | 8568532056 |
| Practice Fax Number | 8566865218 |
| Mailing Telephone | 8568532056 |
| Mailing Fax Number | 8566865218 |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2018-03-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
75 W RED BANK AVE |
| City | WOODBURY |
| State | NJ |
| Zip Code | 08096-1694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760465603 | Gregory Edward Herman | Family Medicine | 75 W Red Bank Ave, Woodbury, NJ 08096-1694 | 2005-11-23 |
| 1942704317 | David Rubben Etienne | Student in an Organized Health Care Education/Training Program | 75 W Red Bank Ave, Woodbury, NJ 08096-1694 | 2018-03-21 |
| 1114421575 | Krystal Alexandria Green | Student in an Organized Health Care Education/Training Program | 75 W Red Bank Ave, Woodbury, NJ 08096-1694 | 2018-03-21 |
| 1780188417 | Tammy Tang Turner | Student in an Organized Health Care Education/Training Program | 75 W Red Bank Ave, Woodbury, NJ 08096-1694 | 2018-03-19 |
| 1538692975 | Kara L Telesmanick | Student in an Organized Health Care Education/Training Program | 75 W Red Bank Ave, Woodbury, NJ 08096-1694 | 2017-04-04 |
| 1740638931 | Daniel Cohen | Student in an Organized Health Care Education/Training Program | 75 W Red Bank Ave, Woodbury, NJ 08096-1694 | 2016-05-27 |
| 1528416716 | Gorden Fu | Student in an Organized Health Care Education/Training Program | 75 W Red Bank Ave, Woodbury, NJ 08096-1694 | 2016-05-27 |
| 1346632452 | Paula Hasenauer | Nurse Practitioner | 75 W Red Bank Ave, Woodbury, NJ 08096-1694 | 2015-02-26 |
| 1235535113 | Community Health Care, Inc | Clinic/Center | 75 W Red Bank Ave, Woodbury, NJ 08096-1694 | 2014-11-05 |
| 1134567050 | Yostina Montasser Bichay | Family Medicine | 75 W Red Bank Ave, Woodbury, NJ 08096-1694 | 2013-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780226043 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1460 Cooper Street, Deptford, NJ 08096 | 2019-10-08 |
| 1730652058 | Robert Crawford Counseling & Consultation, LLC | Counselor | Robert Crawford Counseling & Consultation, LLC, 44 Cooper Street, Suite 208, Woodbury, NJ 08096 | 2019-01-09 |
| 1902381171 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 124 N Broad Street, Woodbury, NJ 08096 | 2018-10-03 |
| 1225518715 | Michael West | Pharmacist | 631 West Mantua Ave, Woodbury, NJ 08096 | 2018-08-15 |
| 1053807891 | Standing Ground Counseling, LLC | Clinic/Center | 44 Cooper Street, Suite 104, Woodbury, NJ 08096 | 2018-07-05 |
| 1376054536 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 40 Hessian Avenue, Woodbury, NJ 08096 | 2017-10-16 |
| 1881105021 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1154 Bennett Drive, Deptford, NJ 08096 | 2017-10-16 |
| 1215448469 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 North Evergreen Avenue, Woodbury, NJ 08096 | 2017-10-16 |
| 1801307137 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6 North Drexel Street, Woodbury, NJ 08096 | 2017-10-13 |
| 1295253847 | Sara Alven | Social Worker | 1 Lupton Avenue, Woodbury, NJ 08096 | 2017-09-05 |
| Find all providers in zip 08096 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205469756 | Evan Joseph Huppert | Student in an Organized Health Care Education/Training Program | 3176 Juniper Ln Apt D, Woodbury, MN 55125-9512 | 2020-02-12 |
| 1093353138 | Lexi Ferber | Student in an Organized Health Care Education/Training Program | 10 Pheasant Ln, Woodbury, NY 11797-1900 | 2019-12-19 |
| 1689218091 | Jordan Schmidt | Student in an Organized Health Care Education/Training Program | 1740 Welr Dr. #24, Woodbury, MN 55125 | 2019-10-30 |
| 1972037216 | Jillian Therese Asmus | Student in an Organized Health Care Education/Training Program | 9262 Boston Rd, Woodbury, MN 55129-9563 | 2017-04-13 |
| 1912448127 | Layne Silver | Student in an Organized Health Care Education/Training Program | 27 Joyce Ln, Woodbury, NY 11797-2118 | 2017-03-20 |
| 1952840670 | Lemar Nadi | Student in an Organized Health Care Education/Training Program | 193 Fairhaven Blvd, Woodbury, NY 11797-1632 | 2017-02-14 |
| 1962898908 | Amy Grossman | Student in an Organized Health Care Education/Training Program | 7 Hunting Hill Rd, Woodbury, NY 11797-1403 | 2015-04-07 |
| 1972903938 | Blair Ginnever | Student in an Organized Health Care Education/Training Program | 10723 Maple Blvd, Woodbury, MN 55129-8320 | 2014-08-27 |
| 1720414527 | Christopher L Finley | Student in an Organized Health Care Education/Training Program | 309 Dogwood Dr, Woodbury, NJ 08096-5562 | 2013-09-25 |
| 1205116191 | Jordan David Barnard | Student in an Organized Health Care Education/Training Program | 126 Sherman Hill Rd Apt A12, Woodbury, CT 06798-3664 | 2011-08-23 |
| Find all providers in WOODBURY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.