Sangeeta Buddala (NPI# 1659460509, PAC ID# 2264613033) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1659460509 |
PAC ID by PECOS | 2264613033 |
Professional Enrollment ID | I20110228000141 |
Full Name | Sangeeta Buddala |
Organization Legal Name | STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL |
Address |
104 Route 72 East Box 130 New Lisbon NJ 08064-0130 |
Phone Number | 6098944022 |
Gender | F |
Graduation Year | 2001 |
Primary Specialty | INTERNAL MEDICINE |
Group Practice PAC ID | 6406742592 |
Number of Group Practice Members | 111 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
310061 | LOURDES MEDICAL CENTER OF BURLINGTON COUNTY |
Address | Phone | Organization |
---|---|---|
104 Route 72 East Box 130, New Lisbon, NJ 08064-0130 | 6098944022 | STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL |
666 Plainsboro Rd, Suite 1020, Plainsboro, NJ 08536-3044 | 6097995000 | PLAINSBORO-PRINCETON MEDICAL ASSOCIATES PC |
Organization Legal Name | STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL |
Physicians | 72 |
Name | Specialty | Organization | Address |
---|---|---|---|
Justina M Tartue Higgins | Nurse Practitioner | State of New Jersey Omb Centralized Payroll | 1676 E Landis Ave, Vineland, NJ 08361-2943 |
Shujaat Nathani | Psychiatry | State of New Jersey Omb Centralized Payroll | 301 Spring Garden Rd, Hammonton, NJ 08037-2516 |
Suzan Y Khalil | Internal Medicine | State of New Jersey Omb Centralized Payroll | 275 Greenbrook Rd, Green Brook, NJ 08812-2223 |
Krishna Patel | Pediatric Medicine | State of New Jersey Omb Centralized Payroll | 40 Pittstown Rd, Clinton, NJ 08809-1209 |
Pankaj M Doshi | Pediatric Medicine | State of New Jersey Omb Centralized Payroll | 104 Route 72 East Box 130, New Lisbon, NJ 08064-0130 |
Gregory R Novotny | Internal Medicine | State of New Jersey Omb Centralized Payroll | 1175 Dehirsch Ave, Woodbine, NJ 08270-2401 |
Walter M Bakun | Emergency Medicine | State of New Jersey Omb Centralized Payroll | 59 Koch Ave, Morris Plains, NJ 07950-4400 |
Pankaja B Achar | Internal Medicine | State of New Jersey Omb Centralized Payroll | 200 Sullivan Way, Box 7500, Trenton, NJ 08625-0500 |
Cecile Mckay | Internal Medicine | State of New Jersey Omb Centralized Payroll | 200 Sullivan Way, Box 7500, Trenton, NJ 08625-0500 |
Arup Kumar Roy | Internal Medicine | State of New Jersey Omb Centralized Payroll | 301 Spring Garden Rd, Hammonton, NJ 08037-2516 |
Street Address |
104 ROUTE 72 EAST BOX 130 |
City | NEW LISBON |
State | NJ |
Zip | 08064-0130 |
Name | Specialty | Organization | Address |
---|---|---|---|
Pankaj M Doshi | Pediatric Medicine | State of New Jersey Omb Centralized Payroll | 104 Route 72 East Box 130, New Lisbon, NJ 08064-0130 |
Guy A Buonincontro | Family Medicine | State of New Jersey Omb Centralized Payroll | 104 Route 72 East Box 130, New Lisbon, NJ 08064-0130 |
Essam El Harazy | Hospitalist | State of New Jersey Omb Centralized Payroll | 104 Route 72 East Box 130, New Lisbon, NJ 08064-0130 |
City | NEW LISBON |
Zip Code | 08064 |
Specialty | INTERNAL MEDICINE |
City + Specialty | NEW LISBON + INTERNAL MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.