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

Dr. Mukundha Belliappa Maneyapanda, MD

Individual provider Family Medicine Physician · NPI 1578827721

Dr. Mukundha Belliappa Maneyapanda, MD is a Family Practice in Fort Lee, New Jersey. Graduated from Rutgers School of Dental Medicine in 2012, 14 years ago. Practices with St Josephs Medical Group PC, a 226-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
14
Trained at
Rutgers School of Dental Medicine
Licensed in
NJ
In the registry since
2012
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

420 Deerwood Rd
Fort Lee, NJ 07024-1643
Phone: (201) 886-8877
Fax: (201) 886-9335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 222 Cedar Ln Ste 111, Teaneck, NJ 07666-4311 — (201) 833-3491

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 25MA09694000 (NJ)

Record details

NPI number1578827721
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 2, 2012
Last updated in NPPESJuly 7, 2026
Certification dateJuly 7, 2026

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolRUTGERS SCHOOL OF DENTAL MEDICINE
Graduated 2012 (14 years in practice)
Group practice St Josephs Medical Group Pc — 226 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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