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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

VANITHA YADALLA MD LLC
NPI 1477919710
Internal Medicine in Wall Township, NJ

Active since December 31, 2015
3350 RTE 138, BUILDING 1, SUITE 117, WALL TOWNSHIP, NJ 07719(732) 280-2727(732) 280-1147 Get Directions Write a Review

NPPES record last updated: October 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 30, 2026, Dec 31, 2015 (2 updates tracked since 2015).

About Vanitha Yadalla Md Llc NPPES

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

VANITHA YADALLA MD LLC (NPI 1477919710) is a healthcare organization registered as an internal medicine in Wall Township, New Jersey and active in the NPI registry since December 2015. The organization lists Vanitha Yadalla, Owner, as its authorized official.

NPPES Registry Identity

NPI1477919710
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameVANITHA YADALLA MD LLC
Location Address3350 RTE 138, BUILDING 1, SUITE 117Wall Township, NJ 07719-9694
Mailing Address3350 Rte 138, Building 1, Suite 117Wall Township, NJ 07719-9694 · (732) 280-2727 · Fax (732) 280-1147
Phone(732) 280-2727
Fax(732) 280-1147
Organization SubpartNo
Authorized OfficialVanitha YadallaOwner · (732) 280-2727
Enumeration DateDecember 31, 2015
Last NPPES UpdateOctober 30, 20262 updates tracked since enumeration
NPPES CertifiedOctober 30, 2026
✔ NPI 1477919710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ 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.
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X
Also ListedInternal Medicine · Hypertension SpecialistTaxonomy 207RH0005X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X
Also ListedNurse Practitioner · Occupational HealthTaxonomy 363LX0106X
3350 RTE 138, Wall Township, NJ 07719
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vanitha Yadalla Md Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Vanitha Yadalla MD LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Angela Bouton, FNP-C
Nurse Practitioner
NPI 1245972215
3350 STATE ROUTE 138 STE 117
Wall Township, NJ 07719
(732) 280-2727
✔ PECOSSame address
Vanitha Yadalla, MD
Internal Medicine
NPI 1093702961
3350 RTE 138 STE 117
Wall Township, NJ 07719
(732) 280-2727
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Vanitha Yadalla MD LLC's NPI number?

The NPI number for Vanitha Yadalla MD LLC is 1477919710. It was assigned to this organization in the NPPES registry on December 31, 2015.

Where is Vanitha Yadalla MD LLC located?

Vanitha Yadalla MD LLC is located at 3350 Rte 138 Building 1, Suite 117, Wall Township, NJ 07719. The listed phone number is (732) 280-2727.

What is Vanitha Yadalla MD LLC's specialty?

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

Is Vanitha Yadalla MD LLC enrolled in Medicare?

Yes. Vanitha Yadalla MD LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vanitha Yadalla MD LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Vanitha Yadalla MD LLC, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Vanitha Yadalla MD LLC was last updated on October 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.