Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Abhilasha Rao Ponnamaneni, MD

Individual provider Family Medicine Physician · NPI 1548574346

Abhilasha Rao Ponnamaneni, MD is an Internal Medicine in Medford, New Jersey. Qualified in 2001, 25 years ago. Practices with State of New Jersey Omb Centralized Payroll, a 129-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
25
Licensed in
NJ
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

639 Stokes Rd Ste 102
Medford, NJ 08055-3003
Phone: (609) 654-7556
Fax: (609) 714-9228
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 25MA08964100 (NJ)

Record details

NPI number1548574346
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 4, 2010
Last updated in NPPESAugust 14, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice State Of New Jersey Omb Centralized Payroll — 129 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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