DR. M.D. Shivaprasad Marulendra, NPI 1205810926
Gastroenterology Physician in Pennington, NJ, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1205810926
NPI Entity Type Individual
Provider Name DR. M.D. Shivaprasad Marulendra
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 27 Tara Way, Pennington, NJ, US
Provider Mailing Address 27 Tara Way, Pennington, NJ, US, 085342100
Gender Male
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

207RG0100X

Taxonomy Name Gastroenterology Physician
Classification

Internal Medicine

Group

Allopathic & Osteopathic Physicians

License No. 036141750
License State IL
Description An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Business Address

DR. M.D. Shivaprasad Marulendra
27 Tara Way

Pennington, NJ, US

Phone: 609-477-3003

Mailing Address

DR. M.D. Shivaprasad Marulendra
27 Tara Way
Pennington, NJ, US
ZIP 085342100
Phone: 609-477-3003

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

174400000X

Other Service Providers

Specialist

25MA06405900 NJ No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
28B141 NH EMPIRE HEALTH CARE 01
3977218008 NH CIGNA 01
0000653760001 NJ ONE HEALTH PLAN 01
214881 IL MEDICARE GROUP PTAN 01
5711065 NJ GHI 01
63162 NJ LOCAL 825 PPO 01
7050607 NJ MEDICAID 05
744595 NH FIRST HEALTH 01
2K7529 NJ HEALTHNET 01
4651687 NJ AETNAPPO 01
143398 NJ CHN 01
16536 NJ AMERICAID 01
0985179000 NH AMERIHEALTH HMO 01
222233588 NJ HORIZON BC/BS 01
1091534 NJ HORIZON NJ HEALTH 01
2172624 NJ AETNA HMO 01
869482 NJ AMERIHEALTH PPO 01
010002878-00 NJ AMERICHOICE 01
222233588 NH MULTIPLAN 01

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
DIRECT [email protected] No 2601 W Main St, Carbondale, IL, US
DIRECT [email protected] No 404 Lincoln Dr, Herrin, IL, US

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Organization

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Organization

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LCSW Nancy F. Perez

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Clinical Social Worker

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New Providence, NJ

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