MADHAVI PENTYALA (NPI# 1265490072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265490072 |
| Entity Type | Individual |
| Full Name | MADHAVI PENTYALA |
| Other Name | MADHAVI KAKUMANU |
| Credential | M.D. |
| Practice Address |
22 Old Short Hills Rd Suite 213 Livingston NJ 07039-5604 |
| Mailing Address |
1 Schanck Dr Edison NJ 08820-2417 |
| Practice Telephone | 9739920658 |
| Practice Fax Number | 9739926655 |
| Mailing Telephone | 9739920658 |
| Mailing Fax Number | 9739926655 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2014-05-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 25MA07939700 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0079855 | 05 |
| Street Address |
22 OLD SHORT HILLS RD SUITE 213 |
| City | LIVINGSTON |
| State | NJ |
| Zip Code | 07039-5604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477557304 | Alan J Liftin | Dermatology | 22 Old Short Hills Rd, Ste 103, Livingston, NJ 07039-5605 | 2005-06-09 |
| 1558976886 | Christina St. Hillaire | Registered Nurse | 22 Old Short Hills Rd, Livingston, NJ 07039-5604 | 2020-09-14 |
| 1356824387 | Jane Mone | Nurse Practitioner | 22 Old Short Hills Rd, Livingston, NJ 07039-5604 | 2018-09-14 |
| 1326540923 | Goldberg Podiatry Center LLC | Podiatrist | 22 Old Short Hills Rd, Livingston, NJ 07039-5604 | 2018-02-28 |
| 1053769604 | Marilyn Mcarthur Md Pa | Obstetrics & Gynecology | 22 Old Short Hills Rd, Suite 202, Livingston, NJ 07039-5604 | 2016-05-24 |
| 1245646306 | Regional Women's Health Group,,llc | Obstetrics & Gynecology | 22 Old Short Hills Rd, Suite 112, Livingston, NJ 07039-5604 | 2014-07-09 |
| 1710318175 | North Jersey Electrodiagnostics | Electrodiagnostic Medicine | 22 Old Short Hills Rd, Livingston, NJ 07039-5604 | 2013-12-10 |
| 1831529528 | Lee Hindin Md Pllc | Psychiatry & Neurology | 22 Old Short Hills Rd, Suite 217, Livingston, NJ 07039-5604 | 2013-11-18 |
| 1679901789 | Endocrine and Metabolic Specialists, LLC | Internal Medicine | 22 Old Short Hills Rd, Suite # 201, Livingston, NJ 07039-5604 | 2013-10-29 |
| 1548602600 | Mega Healthcare LLC | Clinic/Center | 22 Old Short Hills Rd, Suite 213, Livingston, NJ 07039-5604 | 2013-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184111 | Dentistry With A Smile, Inc. | Durable Medical Equipment & Medical Supplies | 1100 Town Center Way, 14-a-ii, Livingston, NJ 07039 | 2020-11-03 |
| 1326692104 | Amy Beth Lipsey | Social Worker | Amy Lipsey, 301 South Livingston Avenue, Livingston, NJ 07039 | 2019-07-30 |
| 1427543412 | Bodypro Physical Therapy, LLC | Physical Therapist | 5 Country Club Ct, Livingston, NJ 07039 | 2018-06-22 |
| 1538665245 | Kushal Shukla | Student in an Organized Health Care Education/Training Program | 20 Canoe Brook Dr, Livingston, NJ 07039 | 2018-04-02 |
| 1629594643 | Northeast Pulmonary and Sleep Medical LLC | Specialist | 506 Regent Street, Suite A, Livingston, NJ 07039 | 2017-08-22 |
| 1184154098 | Snf Old Short Hills Operating Company, LLC | Skilled Nursing Facility | 348 East Cedar Street, Livingston, NJ 07039 | 2017-06-13 |
| 1093254690 | Suzanne M Verbesky Dpm LLC | Clinic/Center | 44 West Mcclellan Avenue, Livingston, NJ 07039 | 2017-02-15 |
| 1649723743 | Essex County Weightloss, LLC | Internal Medicine | 5 Regent St Ste 509, Livingston, NJ 07039 | 2016-07-26 |
| 1912352824 | Grant Arzumanov | Student in an Organized Health Care Education/Training Program | 94 Old Short Hills Rd., Livingston, NJ 07039 | 2016-04-28 |
| 1891158671 | Journey's Eve Counseling LLC | Counselor | 2 Northfield Rd, 210a, Livingston, NJ 07039 | 2016-03-30 |
| Find all providers in zip 07039 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376195859 | Dr Vien Pham Pllc | Internal Medicine | 1717 Highway 59 Loop N Ste C, Livingston, TX 77351-5720 | 2019-07-15 |
| 1649723743 | Essex County Weightloss, LLC | Internal Medicine | 5 Regent St Ste 509, Livingston, NJ 07039 | 2016-07-26 |
| 1336524263 | Martin Bedigian | Internal Medicine | 25 W Northfield Rd, Suite C, Box 642, Livingston, NJ 07039-3760 | 2015-07-21 |
| 1962899187 | Michael Pickert | Internal Medicine | 24 N Hillside Ave, Livingston, NJ 07039 | 2015-04-26 |
| 1972945632 | Allergy Better Care | Internal Medicine | 22 Old Short Hills Rd Ste 110, Livingston, NJ 07039-5605 | 2013-07-23 |
| 1043654114 | Vien Thuy Pham | Internal Medicine | 1717 Us-59 Loop N., Ste C, Livingston, TX 77351-7735 | 2013-04-19 |
| 1790129856 | Deborah Petrowsky | Internal Medicine | 299 E Northfield Rd, Livingston, NJ 07039-4811 | 2013-04-19 |
| 1558670901 | Kenneth J Laurora Md Pa | Internal Medicine | 400 Bypass Ln Ste 111, Livingston, TX 77351-7380 | 2010-10-04 |
| 1174836795 | Noah Laban Rosenberg | Internal Medicine | 17 Trinity Dr, Livingston, NJ 07039-2448 | 2010-07-24 |
| 1922331628 | Michael Lawrence Nemlick | Internal Medicine | 7 Side Hill Ct, Livingston, NJ 07039-3314 | 2009-09-12 |
| Find all providers in LIVINGSTON | ||||
| City | LIVINGSTON |
| Zip Code | 07039 |
Please comment or provide details below to improve the information on MADHAVI PENTYALA.
| 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.