KUCHIPUDI BAPINEEDU (NPI# 1801853031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801853031 |
| Entity Type | Individual |
| Full Name | KUCHIPUDI BAPINEEDU |
| Credential | MD |
| Practice Address |
15-01 Broadway Ste 22 Fair Lawn NJ 07410 |
| Practice Telephone | 2017964848 |
| Practice Fax Number | 2017977992 |
| Mailing Telephone | 2017964848 |
| Mailing Fax Number | 2017977992 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2017-03-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
34591 | NJ | Allopathic & Osteopathic Physicians |
| Y | 208600000X | Surgery | 34591 | NJ | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
34591 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 3723500 | 05 |
| Street Address |
15-01 BROADWAY STE 22 |
| City | FAIR LAWN |
| State | NJ |
| Zip Code | 07410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205813391 | Ramesh C Gupta | Internal Medicine | 15-01 Broadway, Suite 28, Fair Lawn, NJ 07410-6003 | 2005-12-29 |
| 1649752221 | Emelita D Paragas | Physical Therapist | 15-01 Broadway, Suite 30a, Fair Lawn, NJ 07410 | 2018-08-30 |
| 1154869733 | Beena Patel | Physical Therapist | 15-01 Broadway, Suite 30a, Fair Lawn, NJ 07410 | 2017-02-03 |
| 1952773392 | Fairlawn Behavioral Associates | Social Worker | 15-01 Broadway, Suite 10b, Fair Lawn, NJ 07410-6003 | 2015-10-26 |
| 1861876419 | Fairlawn Behavioral Associates LLC | Psychologist | 15-01 Broadway, Suite# 10b, Fair Lawn, NJ 07410-6003 | 2015-07-14 |
| 1720400476 | Donald H Kutner Do LLC | Anesthesiology | 15-01 Broadway, Suite 34, Fair Lawn, NJ 07410-6003 | 2014-01-15 |
| 1023350238 | Imedical Associates, LLC | Internal Medicine | 15-01 Broadway, Suite 32, Fair Lawn, NJ 07410-6003 | 2013-03-26 |
| 1205125655 | Sovereign Medical Group LLC | Internal Medicine | 15-01 Broadway, Suite 1 & 3, Fair Lawn, NJ 07410 | 2011-04-06 |
| 1922300326 | Ma Grace Espinas | Physical Therapist | 15-01 Broadway, Suite 30a, Fair Lawn, NJ 07410-6003 | 2010-11-17 |
| 1750607008 | Rachel Carrie Mandel | Dentist | 15-01 Broadway, Fair Lawn, NJ 07410-6003 | 2010-04-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669093316 | Sheila Robinson-kiss LLC | Counselor | 0-178 Tunbridge Road, Fair Lawn, NJ 07410 | 2020-05-05 |
| 1750902813 | Pine Group LLC | Point of Service | 0-39 Pine Ave, Fair Lawn, NJ 07410 | 2020-04-29 |
| 1073133153 | Maria Jidriska Myers | Nurse Practitioner | 23-00 Nj-208, Fair Lawn, NJ 07410 | 2020-04-20 |
| 1508350869 | Jill Marie Deperi | Counselor | 22-08 Route 208 South, Fair Lawn, NJ 07410 | 2018-06-20 |
| 1952895419 | Laurel Olson | Counselor | Care Plus Nj Children and Family Services, 17-07 Romaine Street, Fair Lawn, NJ 07410 | 2018-06-19 |
| 1851896583 | Janelle Frazier | Social Worker | Care Plus New Jersey, 17-07 Romaine St, Fair Lawn, NJ 07410 | 2018-03-26 |
| 1457876260 | Daniella Suric | Behavioral Analyst | 2-08 Morlot Avenue, Fair Lawn, NJ 07410 | 2017-08-14 |
| 1912453549 | Marcia Gurfield | Social Worker | 33-03 Ryan Road, Fair Lawn, NJ 07410 | 2016-09-01 |
| 1417330721 | The Arc of Bergen and Passaic Counties, Inc | Day Training, Developmentally Disabled Services | 17-03a Broadway, Fair Lawn, NJ 07410 | 2015-07-06 |
| 1275914228 | Julius Iratagotia | Occupational Therapist | 0-53 26th St, Fair Lawn, NJ 07410 | 2015-06-16 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346416583 | Benjamin Ocampo Zamora | Surgery | 31-00 Broadway 1st Floor, Fair Lawn, NJ 07410-5419 | 2008-05-07 |
| 1245675743 | Collin Russell Creange | Surgery | 31-00 Broadway, Fair Lawn, NJ 07410-3963 | 2013-05-09 |
| 1114167202 | Kuchipudi Bapineedu, Md Pa | Surgery | 15-01 Broadway, Ste. #22, Fair Lawn, NJ 07410-6003 | 2009-03-02 |
| 1720129810 | Mahfouz M Tadros | Surgery | 33-00 Broadway, Suite 204, Fair Lawn, NJ 07410-4617 | 2007-02-09 |
| 1467464479 | Peter T. Marta | Surgery | 31-00 Broadway, Fair Lawn, NJ 07410-3963 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861002867 | Herrmann Rnfa LLC | Surgery | 37 Center Ave, Cedar Grove, NJ 07009-1015 | 2020-08-04 |
| 1003437492 | New Jersey Robotic Surgery Associates PC | Surgery | 114 Essex St Ste 102, Rochelle Park, NJ 07662-4342 | 2020-04-27 |
| 1386273803 | Felere Cherfils | Surgery | 10 Wyckoff Dr, Pittstown, NJ 08867-4236 | 2020-04-06 |
| 1841829983 | Naeem Patel | Surgery | 1209 89th St, North Bergen, NJ 07047-4462 | 2020-04-01 |
| 1184255119 | Impact Medical & Diagnostics of Nj PC | Surgery | 145 N Franklin Tpke Ste 106, Ramsey, NJ 07446-1634 | 2020-01-29 |
| 1598316143 | Heritage Laparoscopy Acute Care Surgery PC | Surgery | 9 Post Rd Ste M7, Oakland, NJ 07436-1615 | 2019-09-25 |
| 1013570506 | Atlanticare Center for Orthopedic Surgery | Surgery | 2500 English Creek Ave Ste 1201, Egg Harbor Twp, NJ 08234-5549 | 2019-04-19 |
| 1881157550 | Somerset Surgical Associates,llc | Surgery | 575 Route 28 # 3107, Raritan, NJ 08869-1354 | 2019-04-10 |
| 1154884203 | Buchholz Bariatrics | Surgery | 1647 Bay Ave, Point Pleasant Boro, NJ 08742-4501 | 2019-04-07 |
| 1023589553 | L.i.v. Medical Hydration Therapy LLC | Surgery | 201 3rd Ave Apt 3b, Belmar, NJ 07719-2050 | 2018-12-10 |
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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.