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SRI MEDICAL CENTER, INC
NPI 1124594809
Internal Medicine in Maplewood, NJ

Active since October 19, 2018
2115 MILLBURN AVE, MAPLEWOOD, NJ 07040(973) 275-0570(973) 900-8453 Get Directions Write a Review

NPPES record last updated: June 5, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2019, Oct 22, 2018, Oct 19, 2018 (3 updates tracked since 2018).

About Sri Medical Center, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SRI MEDICAL CENTER, INC (NPI 1124594809) is a healthcare organization registered as an internal medicine in Maplewood, New Jersey and active in the NPI registry since October 2018. The organization lists Shailender Karry Mohanrao, M.d., as its authorized official.

NPPES Registry Identity

NPI1124594809
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSRI MEDICAL CENTER, INC
Location Address2115 MILLBURN AVEMaplewood, NJ 07040-3724
Mailing AddressPo Box 4577Metuchen, NJ 08840-4577 · (973) 275-0570 · Fax (973) 900-8453
Phone(973) 275-0570
Fax(973) 900-8453
Organization SubpartNo
Authorized OfficialShailender Karry MohanraoM.d. · (732) 829-8476
Enumeration DateOctober 19, 2018
Last NPPES UpdateJune 5, 20193 updates tracked since enumeration
✔ NPI 1124594809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
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.
2115 MILLBURN AVE, Maplewood, NJ 07040
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Other Identifiers 1

Medicaid0155641NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D0888828

Sri Medical Center · Maplewood, NJ
Expired · Jul 13, 2026
CLIA Number31D0888828
Laboratory TypePhysician Office
Certificate Effective DateJuly 14, 2024
Certificate Expiration DateJuly 13, 2026
Laboratory DirectorShailender K. Mohanrao
Laboratory Phone(201) 926-7472
Laboratory LocationSri Medical Center2115 Millburn Ave, Maplewood, NJ 07040
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INNER IMAGE COUNSELING & CONSULTING SERVICES
Counselor (Mental Health)
2115 MILLBURN AVE
MAPLEWOOD, NJ 07040
Essex County (877) 620-2323
SHAILENDER KARRY MOHANRAO MD
Internal Medicine
2115 MILLBURN AVE, SUITE L2
MAPLEWOOD, NJ 07040
Essex County (973) 275-1322
DR. PIERRE JEAN ALBERT PH.D.
Psychologist
2115 MILLBURN AVE, SUITE L-1D
MAPLEWOOD, NJ 07040
Essex County (973) 368-7360
NICOLE PELUSO LPC
Counselor (Professional)
2115 MILLBURN AVE
MAPLEWOOD, NJ 07040
Essex County (201) 400-2503
MRS. KAREN HERRERA LCSW
Social Worker (Clinical)
2115 MILLBURN AVE
MAPLEWOOD, NJ 07040
Essex County (973) 761-4410
PAMELA O'GARRO HUMPHREY LSW
Counselor (Mental Health)
2115 MILLBURN AVE
MAPLEWOOD, NJ 07040
Essex County (862) 423-8271
DR. S.B. BREGMAN, LLC
Optometrist
2115 MILLBURN AVE
MAPLEWOOD, NJ 07040
Essex County (973) 763-5525
DR. APRILE C MAXIE PH.D.
Psychologist
2115 MILLBURN AVE, SUITE 101
MAPLEWOOD, NJ 07040
Essex County (973) 731-3050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sri Medical Center, Inc's NPI number?

The NPI number for Sri Medical Center, Inc is 1124594809. It was assigned to this organization in the NPPES registry on October 19, 2018.

Where is Sri Medical Center, Inc located?

Sri Medical Center, Inc is located at 2115 Millburn Ave, Maplewood, NJ 07040. The listed phone number is (973) 275-0570.

What is Sri Medical Center, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Sri Medical Center, Inc was last updated on June 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.