SRINIVAS PAVULURI, MD, PA (NPI# 1639190705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639190705 |
| Entity Type | Organization |
| Organization Name | SRINIVAS PAVULURI, MD, PA |
| Practice Address |
668 N Beers St Suite 101 Holmdel NJ 07733-1526 |
| Mailing Address |
Po Box 71 Holmdel NJ 07733-0071 |
| Practice Telephone | 7322644301 |
| Practice Fax Number | 7322641102 |
| Mailing Telephone | 7322644301 |
| Mailing Fax Number | 7322641102 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2014-03-19 |
| Authorized Official Name | DR. SRINIVAS PAVULURI (OWNER) |
| Authorized Official Telephone | 7322644301 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
25MA07341500 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PTAN# | 056224U33 | 01 |
| Street Address |
668 N BEERS ST SUITE 101 |
| City | HOLMDEL |
| State | NJ |
| Zip Code | 07733-1526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447240551 | Anant S. Kubal | Internal Medicine | 668 N Beers St, Ste 100, Holmdel, NJ 07733-1511 | 2005-10-28 |
| 1497267058 | Hmh Hospitals Corporation | Clinic/Center | 668 N Beers St, Holmdel, NJ 07733-1526 | 2017-11-03 |
| 1265956213 | Subika Mohammad | Physician Assistant | 668 N Beers St, Holmdel, NJ 07733-1526 | 2017-08-01 |
| 1891184784 | Babita Saaraswat | Internal Medicine | 668 N Beers St, Suite 100, Holmdel, NJ 07733-1526 | 2015-01-14 |
| 1801290424 | Sai Nephrology LLC | Internal Medicine | 668 N Beers St, Suite 100, Holmdel, NJ 07733-1526 | 2014-10-09 |
| 1942637426 | Linda Alessi | Registered Nurse | 668 N Beers St, Suite 103, Holmdel, NJ 07733-1526 | 2013-09-30 |
| 1063789170 | Shamra Medical Laboratory Limited Liability Company | Internal Medicine | 668 N Beers St, Suite 104, Holmdel, NJ 07733-1526 | 2011-11-18 |
| 1184869737 | Ayotunde Adeyeri | Surgery | 668 N Beers St, Suite 103, Holmdel, NJ 07733-1526 | 2008-12-11 |
| 1255580775 | Susan H Calmann | Dentist | 668 N Beers St, Holmdel, NJ 07733-1526 | 2008-09-09 |
| 1093996548 | Robinson-gallaro Gastroenterology Associates LLC | Internal Medicine | 668 N Beers St, Suite 202, Holmdel, NJ 07733-1526 | 2007-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851927628 | Kathleen Knauf | Physical Medicine & Rehabilitation | 2080 Nj 35 #1, Holmdel, NJ 07733 | 2020-03-12 |
| 1396370516 | Alexandra Julia Ali | Specialist/Technologist | 2080 State Route 35, Holmdel, NJ 07733 | 2020-03-09 |
| 1942862248 | Niki Mirzaei | Optometrist | 2101 Nj-35, Holmdel, NJ 07733 | 2019-07-08 |
| 1487147740 | Advanced Pulmonary Medicine, LLC | Internal Medicine | 721 North Beers St, Suite 2g & H, Holmdel, NJ 07733 | 2018-06-12 |
| 1487188686 | Smile Works Dental Center Pa. | Dentist | 101 Crawford Corner Road In Bellworks Building, Suite 1109, Holmdel, NJ 07733 | 2017-04-13 |
| 1366983033 | Liberty Med Associates LLC | Internal Medicine | 999 Palmer Ave Ste 1, Holmdel, NJ 07733 | 2017-03-15 |
| 1699214072 | Candace Stefflre | Massage Therapist | 14-b Plum Lane, Holmdel, NJ 07733 | 2017-02-17 |
| 1326411604 | Catherine Aurelie Hoch | Clinical Nurse Specialist | 727 N. Beers St, Holmdel, NJ 07733 | 2015-11-09 |
| 1174905228 | Lindsey Kirdahy | Counselor | 797 North Beers St, Holmdel, NJ 07733 | 2015-06-25 |
| 1245592971 | Jenifer Paulino | Early Intervention Provider Agency | 262 South Holland Road, Holmdel, NJ 07733 | 2012-06-08 |
| Find all providers in zip 07733 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952634750 | Shefali Gandhi | Psychiatry & Neurology | 670 North Beers Street, Building 2, Suite 4, Holmdel, NJ 07733-1527 | 2009-09-10 |
| 1669804852 | Neurology Associates of Central Jersey | Psychiatry & Neurology | 670 N Beers St, Bldg 2, Ste 4, Holmdel, NJ 07733-1516 | 2013-07-30 |
| 1255360020 | Srinivas Pavuluri | Psychiatry & Neurology | 668 N Beers St, Suite 101, Holmdel, NJ 07733-1526 | 2006-07-02 |
| 1770558843 | Rafiya S Khakoo | Psychiatry & Neurology | 721 N Beers St, Suite 2h, Holmdel, NJ 07733-1518 | 2006-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831717719 | Hudson Healthcare Express LLC | Psychiatry & Neurology | 9225 Kennedy Blvd Ste D, North Bergen, NJ 07047-5361 | 2020-07-08 |
| 1225660947 | Harmony Direct Psychiatric Clinic | Psychiatry & Neurology | 332 Cranbury Rd, East Brunswick, NJ 08816-3074 | 2020-02-11 |
| 1548804909 | Stc Pediatrics LLC | Psychiatry & Neurology | 100 Kings Way E Ste C, Sewell, NJ 08080-2238 | 2019-10-29 |
| 1356902134 | Balance Dizziness Center Inc. | Psychiatry & Neurology | 17 Brinkerhoff Terrace, Palisades Park, NJ 07650 | 2019-06-24 |
| 1821555376 | Executive Center for Psychological Medicine | Psychiatry & Neurology | 701 White Horse Rd Ste C-101, Voorhees, NJ 08043-2494 | 2019-02-20 |
| 1871058446 | Midatlantic Neuromonitoring Limited | Psychiatry & Neurology | 125 Half Mile Rd Ste 200, Red Bank, NJ 07701-6749 | 2019-02-07 |
| 1083120570 | Ah Medical PC | Psychiatry & Neurology | 3600 Bergenline Ave 2nd Floor, Ste 8, Union City, NJ 07087 | 2017-12-19 |
| 1225551146 | Bindi Akshay Patel | Psychiatry & Neurology | 125 Paterson St Ste 6100, New Brunswick, NJ 08901-1962 | 2017-07-23 |
| 1841647823 | Joshua Daniel | Psychiatry & Neurology | 58 W Aspen Way, Aberdeen, NJ 07747-1906 | 2016-05-19 |
| 1487059978 | Neurological Institute of Northern New Jersey | Psychiatry & Neurology | 3 Wedgewood Dr, West Orange, NJ 07052-2719 | 2014-10-27 |
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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.