DEVINENI R PRASAD MD PA
NPI 1154585545
Pediatrics in Hammonton, NJ

Active since July 15, 2008CLIA 31D0118059 · Waiver
777 S WHITE HORSE PIKE, SUITE E1, HAMMONTON, NJ 08037(609) 567-0608(609) 567-1295 Get Directions Write a Review

NPPES record last updated: October 5, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Devineni R Prasad Md Pa NPPES

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

DEVINENI R PRASAD MD PA (NPI 1154585545) is a healthcare organization registered as a pediatrics in Hammonton, New Jersey and active in the NPI registry since July 2008. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Devineni Prasad, Pediatric Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1154585545
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameDEVINENI R PRASAD MD PA
Location Address777 S WHITE HORSE PIKE, SUITE E1Hammonton, NJ 08037-2029
Mailing Address777 S White Horse Pike, Suite EHammonton, NJ 08037-2029 · (609) 567-0608 · Fax (609) 567-1295
Fax(609) 567-1295
Organization SubpartNo
Authorized OfficialDevineni PrasadPediatric Physician/owner · (609) 567-0608
Enumeration DateJuly 15, 2008
Last NPPES UpdateOctober 5, 2012
NPI 1154585545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in NJ · 25MA03254600
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
777 S WHITE HORSE PIKE, Hammonton, NJ 08037

Other Identifiers 2

Other1047520NJ · Horizon Nj Horizon
Medicaid2929201NJ

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

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 31D0118059

Devineni Prasad MD · Hammonton, NJ
Active · expires Aug 31, 2026
CLIA Number31D0118059
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDevineni R. Prasad
Laboratory Phone(609) 567-0608
Laboratory LocationDevineni Prasad MD777 White Horse Pike, Hammonton, NJ 08037
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

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

Dermatology
777 S WHITE HORSE PIKE, SUITE A-2
HAMMONTON, NJ 08037
Internal Medicine
777 S WHITE HORSE PIKE, SUITE A1
HAMMONTON, NJ 08037
General Practice
777 S WHITE HORSE PIKE, SUITE E
HAMMONTON, NJ 08037
Dentist (General Practice)
777 S WHITE HORSE PIKE, SUITE C-2
HAMMONTON, NJ 08037
Otolaryngology
777 S WHITE HORSE PIKE, SUITE B1
HAMMONTON, NJ 08037
Podiatrist
777 S WHITE HORSE PIKE, STE D1
HAMMONTON, NJ 08037
Family Medicine
777 S WHITE HORSE PIKE, SUITE D-1
HAMMONTON, NJ 08037
Dermatology
777 S WHITE HORSE PIKE, A-2
HAMMONTON, NJ 08037

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 Devineni R Prasad MD PA's NPI number?

The NPI number for Devineni R Prasad MD PA is 1154585545. It was assigned to this organization in the NPPES registry on July 15, 2008.

Where is Devineni R Prasad MD PA located?

Devineni R Prasad MD PA is located at 777 S White Horse Pike Suite E1, Hammonton, NJ 08037. The listed phone number is (609) 567-0608.

What is Devineni R Prasad MD PA's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Devineni R Prasad MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D0118059) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Devineni R Prasad MD PA accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Devineni R Prasad MD PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Devineni R Prasad MD PA was last updated on October 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.