# PADMAVATHI JONNALAGADDA MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821096504
- **Authorized official:** PADMAVATHI JONNALAGADDA MD (PRESIDENT)
- **Authorized official phone:** (201) 420-0366

## Contact information

- **Practice address:** 3438 JOHN F KENNEDY BLVD, JERSEY CITY, NJ 07307-4166
- **Practice address phone:** (201) 420-0366
- **Practice address fax:** (201) 420-6422
- **Mailing address:** 3438 JOHN F KENNEDY BLVD, JERSEY CITY, NJ 07307-4166
- **Mailing address phone:** (201) 420-0366
- **Mailing address fax:** (201) 420-6422

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 25MA07442900 | NJ | Yes |
| 207RN0300X | Nephrology Physician | 25MA06324000 | NJ | — |

## Other

- **Enumeration date:** 07/07/2005
- **Last updated:** 08/13/2026