PRATHIBHA POTHARLANKA (NPI# 1295761690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295761690 |
| Entity Type | Individual |
| Full Name | PRATHIBHA POTHARLANKA |
| Credential | M.D. |
| Practice Address |
218 Sunset Rd Willingboro NJ 08046-1110 |
| Mailing Address |
30 Belmont Cir Columbus NJ 08022-9714 |
| Practice Telephone | 6098352900 |
| Practice Fax Number | 8565662797 |
| Mailing Telephone | 6097890800 |
| Mailing Fax Number | 6092980491 |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2016-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 25MA07690100 | NJ | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 25MA07690100 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0078875 | 05 | |
| NJ | RAILROAD MEDICARE | P00603546-MERCER | 01 |
| NJ | 0033120 | 05 | |
| NJ | AETNA PPO | 7221574 | 01 |
| Street Address |
218 SUNSET RD |
| City | WILLINGBORO |
| State | NJ |
| Zip Code | 08046-1110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578543468 | Lourdes Specialty Hospital of Southern New Jersey LLC | Long Term Care Hospital | 218 Sunset Rd, Willingboro, NJ 08046-1110 | 2006-01-18 |
| 1043860174 | Mariya Rudi | Nurse Practitioner | 218 Sunset Rd, Willingboro, NJ 08046-1110 | 2019-09-20 |
| 1538640214 | Matthew B Louis | Student in an Organized Health Care Education/Training Program | 218 Sunset Rd, Willingboro, NJ 08046-1110 | 2018-08-22 |
| 1033577101 | Tijo Thomas | Internal Medicine | 218 Sunset Rd, Willingboro, NJ 08046-1110 | 2016-02-04 |
| 1427436468 | Amy Gestoso | Counselor | 218 Sunset Rd, Willingboro, NJ 08046-1110 | 2015-05-11 |
| 1417348228 | Jamie Higginbotham | Physician Assistant | 218 Sunset Rd, Willingboro, NJ 08046-1110 | 2015-02-16 |
| 1831441674 | Inna Vaynberg | Physician Assistant | 218 Sunset Rd, Willingboro, NJ 08046-1110 | 2012-10-03 |
| 1124261904 | Florence Ann Bethe | Community Health Worker | 218 Sunset Rd, Willingboro, NJ 08046-1110 | 2009-04-09 |
| 1720255458 | Karen A Angel | Registered Nurse | 218 Sunset Rd, Willingboro, NJ 08046-1110 | 2008-05-12 |
| 1649464140 | Ibrahim Abdullah | Emergency Medicine | 218 Sunset Rd, Willingboro, NJ 08046-1110 | 2007-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548910 | Meghan Chan | Pharmacist | 4296 Us-130, Willingboro, NJ 08046 | 2020-11-02 |
| 1861004251 | Magdalena Alicja Szostak | Pharmacist | Pharmacy Dept 5987, 4296 Route 130, Willingboro Nj, Willingboro, NJ 08046 | 2020-08-18 |
| 1114560851 | Brian Paul Leonhardt | Physician Assistant | 1113 Hospital Drive Professional Building East, Suite 100, Willingboro, NJ 08046 | 2019-10-25 |
| 1144702804 | Iyanuoluwa Oluwafunmiso Alonge | Specialist/Technologist | 2009 Lewis Drive, Willingboro, NJ 08046 | 2018-08-29 |
| 1972095826 | Felicia Ann Ellis | Behavior Technician | 38 Trinity Turn, Wilingboro, NJ 08046 | 2018-06-05 |
| 1134630510 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 2091 Route 130 N, Willingboro, NJ 08046 | 2017-10-12 |
| 1205387560 | Lj's Senior Care Services LLC | Home Health | 8 Peartree Lane, Willingboro, NJ 08046 | 2016-10-20 |
| 1174976963 | Dungarvin New Jersey, LLC-rancocas Day Program | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1000 Rev Dr Martin Luther King Jr Dr, Willingboro, NJ 08046 | 2016-07-18 |
| 1548633845 | Caringhouse Projects, Inc | Respite Care | 48 Toledo Lane, Willingboro, NJ 08046 | 2015-11-09 |
| 1275927352 | Cheryl Louise Avent-price | Social Worker | 130 Tiffany Lane, Willingboro, NJ 08046 | 2015-03-26 |
| Find all providers in zip 08046 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265846091 | Lourdes Medical Associates, Pa | Hospitalist | 218a Sunset Rd, Willingboro, NJ 08046-1110 | 2014-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639719107 | Heidi Morinvil | Hospitalist | 100 Bowman Dr Lowr Level, Voorhees, NJ 08043-9612 | 2020-01-13 |
| 1679004261 | Samir Nirola | Hospitalist | 2225 Evesham Road, Suite 101, Virtua Graduate Medical Education, Voorhees, NJ 08043-1557 | 2017-03-24 |
| 1568993632 | Qamar Khan | Hospitalist | 415-425 Jack Martin Blvd, Brick Township, NJ 08724 | 2017-03-21 |
| 1437520889 | Hunterdon Specialty Care, PC | Hospitalist | 3 Minneakoning Rd, Flemington, NJ 08822-5726 | 2015-10-12 |
| 1053799643 | Pooja Pulijaal | Hospitalist | 1 Robert Wood Johnson Pl # Place256, New Brunswick, NJ 08901-1928 | 2015-05-14 |
| 1548689763 | Mansi Ramesh Shah | Hospitalist | 125 Paterson St Ste 5200, New Brunswick, NJ 08901 | 2014-04-15 |
| 1629496880 | Ryan M Monti | Hospitalist | 1 Bay Avenue Montclair, Montclair, NJ 07042 | 2014-04-03 |
| 1467873729 | Pascack Physician Services | Hospitalist | 300 Old Hook Rd, Westwood, NJ 07675-3122 | 2014-01-03 |
| 1063754034 | Barbara Onyia | Hospitalist | 13 Petunia Dr, North Brunswick, NJ 08902-3738 | 2013-03-18 |
| 1639430754 | Shah Medical Associates, LLC | Hospitalist | 1330 Route 206, Suite 130-330, Skillman, NJ 08558-1921 | 2012-06-05 |
| Find all providers with the same taxonomy | ||||
| City | WILLINGBORO |
| Zip Code | 08046 |
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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.