DR. JERUSHA DEEPTHI GUDAPATI MD
NPI 1740033125
Student in an Organized Health Care Education/Training Program in Far Rockaway, NY

Active since April 08, 2024
327 BEACH 19TH ST, FAR ROCKAWAY, NY 11691(718) 869-7108 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jerusha Deepthi Gudapati Md NPPES

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

DR. JERUSHA DEEPTHI GUDAPATI MD (NPI 1740033125) is an individual student in an organized health care education/training program in Far Rockaway, New York and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1740033125
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. JERUSHA DEEPTHI GUDAPATICredential: MD
Location Address327 BEACH 19TH STFar Rockaway, NY 11691-4423
Mailing Address6613 Rock Lawn DrClifton, VA 20124-2527 · (571) 762-9712
Sole ProprietorNo
Enumeration DateApril 8, 2024
NPPES CertifiedApril 7, 2024
NPI 1740033125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
327 BEACH 19TH ST, Far Rockaway, NY 11691

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.

Physician Assistant
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691
Student in an Organized Health Care Education/Training Program
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691
Student in an Organized Health Care Education/Training Program
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691
Student in an Organized Health Care Education/Training Program
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691
Physician Assistant
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691
Internal Medicine
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691
Podiatrist (Foot & Ankle Surgery)
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691
Student in an Organized Health Care Education/Training Program
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691

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 Jerusha Gudapati's NPI number?

The NPI number for Jerusha Gudapati is 1740033125. It was assigned to this individual provider in the NPPES registry on April 8, 2024.

Where is Jerusha Gudapati located?

Jerusha Gudapati practices at 327 Beach 19th St, Far Rockaway, NY 11691. The listed phone number is (718) 869-7108.

What is Jerusha Gudapati's specialty?

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

When was this NPI record last updated?

The NPPES record for Jerusha Gudapati was last updated on April 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.