DR. SOWMINI KOMMIREDDI (NPI# 1518064260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518064260 |
| Entity Type | Individual |
| Full Name | DR. SOWMINI KOMMIREDDI |
| Practice Address |
1070 State Route 34 Suite V Matawan NJ 07747-3469 |
| Practice Telephone | 7322901063 |
| Practice Fax Number | 7322901384 |
| Mailing Telephone | 7322901063 |
| Mailing Fax Number | 7322901384 |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 25MA073809 | NJ | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 9072802 | 05 |
| Street Address |
1070 STATE ROUTE 34 SUITE V |
| City | MATAWAN |
| State | NJ |
| Zip Code | 07747-3469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992035315 | Sydney X Chen | Internal Medicine | 1070 State Route 34, Suite C, Matawan, NJ 07747-3469 | 2010-01-07 |
| 1578742730 | Ira Stein | Durable Medical Equipment & Medical Supplies | 1070 State Route 34, Ste U, Matawan, NJ 07747-3481 | 2007-10-24 |
| 1457439473 | Ira M Stein | Podiatrist | 1070 State Route 34, Suite U, Matawan, NJ 07747-3469 | 2006-11-01 |
| 1154405199 | Richard H Marzo | Chiropractor | 1070 State Route 34, Suite U, Matawan, NJ 07747-3469 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730730169 | Therapy Enlightens, LLC | Counselor | 811 Sloan Court, Matawan, NJ 07747 | 2019-09-26 |
| 1831748045 | Adam Fan | Physical Therapist | 1016 Hwy 34 Matawan, Building 9, Matawan, NJ 07747 | 2019-09-10 |
| 1255819843 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 96 Church St., Apt. 110, Aberdeen, NJ 07747 | 2018-08-06 |
| 1023547775 | Claire Casey | Counselor | 166 Main Strreet, Matawan, NJ 07747 | 2017-06-07 |
| 1174975361 | Danielle Barakat | Behavioral Analyst | 2 Mill Rd, Apt 2, Matawan, NJ 07747 | 2016-07-12 |
| 1275982019 | Angel Cardenas | Social Worker | 1208 Route 34 Tower 2 Suite 20, Aberdeen, NJ 07747 | 2016-06-10 |
| 1891175931 | Gabriella Taube | Dentist | 1130 Nj-34, Aberdeen Township, NJ 07747 | 2015-06-03 |
| 1639423874 | Bayshore Ems, Inc | Ambulance | 260 Church Street, Aberdeen, NJ 07747 | 2012-11-08 |
| 1689959462 | Michael Ruggiero | Counselor | 104 Wellington Place, Aberdeen, NJ 07747 | 2011-10-12 |
| 1619258407 | Maressa Nordstrom | Counselor | 196 Main St Ste 103, Matawan, NJ 07747 | 2011-09-07 |
| Find all providers in zip 07747 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
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| 1538617683 | Patricia Allocca | Preferred Provider Organization | 305 Atlantic Dr, Parsippany, NJ 07054-2441 | 2016-09-19 |
| 1750837803 | Jessica Plonchak | Preferred Provider Organization | 255 Sherman Ave, Teaneck, NJ 07666-3310 | 2016-08-29 |
| 1609227248 | Essex Pediatrics & Associates PC | Preferred Provider Organization | 654 Mount Prospect Ave, Newark, NJ 07104-3110 | 2016-06-24 |
| 1013372457 | Sewell Senior Citizen Center | Preferred Provider Organization | 475 Hurstville Cross Keys Rd, Suite A&b, Sewell, NJ 08080 | 2015-12-30 |
| 1487021309 | Bergen Smiles Dental Clinic, LLC | Preferred Provider Organization | 24 Godwin Ave Ste 102, Midland Park, NJ 07432-1962 | 2015-08-26 |
| 1972900777 | Advocacy Family Support Services. | Preferred Provider Organization | 41 La Gorce Blvd, Burlington, NJ 08016-2938 | 2014-11-24 |
| 1265852933 | Abt Counseling Pllc | Preferred Provider Organization | 1010 Haddonfield Berlin Rd Ste 300, Voorhees, NJ 08043-3514 | 2014-04-22 |
| 1811324650 | G L Payumo Md Pa | Preferred Provider Organization | 205 May St Ste 103, Edison, NJ 08837-3267 | 2013-10-10 |
| 1154753507 | United Anesthesia LLC | Preferred Provider Organization | 249 Bridge St Bldg G, Metuchen, NJ 08840-2294 | 2013-08-07 |
| Find all providers with the same taxonomy | ||||
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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.