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MS. NISHITHA REDDY DEPA M.D.
NPI 1306580089
Student in an Organized Health Care Education/Training Program in Newark, NJ

Active since April 27, 2022PECOS Enrolled
183 S ORANGE AVE, BEHAVIORAL SCIENCE BUILDING E1452, NEWARK, NJ 07103(973) 972-4670 Get Directions Write a Review

NPPES record last updated: March 8, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 8, 2023, Apr 27, 2022 (2 updates tracked since 2022).

About Ms. Nishitha Reddy Depa M.d. NPPES

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

MS. NISHITHA REDDY DEPA M.D. (NPI 1306580089) is an individual student in an organized health care education/training program in Newark, New Jersey and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306580089
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMS. NISHITHA REDDY DEPACredential: M.D.
Location Address183 S ORANGE AVE, BEHAVIORAL SCIENCE BUILDING E1452Newark, NJ 07103
Mailing Address5 Dame Gruev DriveMarkham, ON LGE OM4
Phone(973) 972-4670
Sole ProprietorNo
Enumeration DateApril 27, 2022
Last NPPES UpdateMarch 8, 20232 updates tracked since enumeration
NPPES CertifiedMarch 8, 2023
✔ NPI 1306580089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
183 S ORANGE AVE, Newark, NJ 07103
Open in Google Maps ↗

Other Names 1

Former Name (1)Mounika Reddy Depa

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Nishitha Reddy Depa M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

JANET NARANJO
Counselor (Mental Health)
183 S ORANGE AVE
NEWARK, NJ 07103
Essex County (800) 969-5300
IRENE NGAI
Psychologist
183 S ORANGE AVE
NEWARK, NJ 07103
Essex County (800) 969-5300
ROSANNY GOMEZ
Case Manager/Care Coordinator
183 S ORANGE AVE
NEWARK, NJ 07103
Essex County (973) 972-8426
MAKEDA BURR
Licensed Practical Nurse
183 S ORANGE AVE
NEWARK, NJ 07103
Essex County (800) 969-5300
CHEIDY TORRES
Case Manager/Care Coordinator
183 S ORANGE AVE
NEWARK, NJ 07103
Essex County (973) 972-6100
KARLA INFANTE
Counselor (Mental Health)
183 S ORANGE AVE
NEWARK, NJ 07103
Essex County (973) 972-0480
PETROS LEVOUNIS MD, MA
Psychiatry & Neurology (Psychiatry)
183 S ORANGE AVE, ROOM F-1436
NEWARK, NJ 07103
Essex County (973) 972-7117
LUZ ORAMAS LCSW
Social Worker
183 S ORANGE AVE
NEWARK, NJ 07103
Essex County (973) 973-4876

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 Nishitha Depa's NPI number?

The NPI number for Nishitha Depa is 1306580089. It was assigned to this individual provider in the NPPES registry on April 27, 2022. The provider is also known as Mounika Reddy Depa.

Where is Nishitha Depa located?

Nishitha Depa practices at 183 S Orange Ave Behavioral Science Building E1452, Newark, NJ 07103. The listed phone number is (973) 972-4670.

What is Nishitha Depa's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nishitha Depa enrolled in Medicare?

Yes. Nishitha Depa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nishitha Depa was last updated on March 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.