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Contact Information

SHIVAPRASAD MARULENDRA, MD
27 TARA WAY
PENNINGTON, NJ08534-2100
 Phone: 609-477-3003
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for SHIVAPRASAD MARULENDRA · (Male)

NPI # 1205810926
Status Active
Credentials MD
Entity Individual
Enumeration date 12/06/2005
Last updated 01/16/2026 - About 5 months ago
Sole proprietor 1 No
Identifiers
  • IL License # 036141750
  • NJ License # 25MA06405900
  • NJ Medicaid 7050607
  • IL Other 214881 MEDICARE GROUP PTAN
  • NH Other 0985179000 AMERIHEALTH HMO
  • NH Other 3977218008 CIGNA
  • NH Other 28B141 EMPIRE HEALTH CARE
  • NH Other 744595 FIRST HEALTH
  • NH Other 222233588 MULTIPLAN
  • NJ Other 2172624 AETNA HMO
  • NJ Other 4651687 AETNAPPO
  • NJ Other 16536 AMERICAID
  • NJ Other 010002878-00 AMERICHOICE
  • NJ Other 869482 AMERIHEALTH PPO
  • NJ Other 143398 CHN
  • NJ Other 5711065 GHI
  • NJ Other 2K7529 HEALTHNET
  • NJ Other 222233588 HORIZON BC/BS
  • NJ Other 1091534 HORIZON NJ HEALTH
  • NJ Other 63162 LOCAL 825 PPO
  • NJ Other 0000653760001 ONE HEALTH PLAN
Hospital affiliation(s)
  • HERRIN HOSPITAL - (Acute Care)
    201 S 14TH ST
    HERRIN, IL 62948
  • MEMORIAL HOSPITAL OF CARBONDALE - (Acute Care)
    405 W JACKSON
    CARBONDALE, IL 62902
  • ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL HAMILTON - (Acute Care)
    ONE HAMILTON HEALTH PLACE
    HAMILTON, NJ 08690
  • UNIV MEDICAL CENTER OF PRINCETON AT PLAINSBORO - (Acute Care)
    ONE-FIVE PLAINSBORO ROAD
    PLAINSBORO, NJ 08536
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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