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

Dr. Prasad Medepalli

Individual provider Internal Medicine Physician · NPI 1912941691

Dr. Prasad Medepalli is a Cardiovascular Disease (Cardiology) in Fairlawn, New Jersey. Qualified in 1971, 55 years ago. Practices with County of Essex, an 11-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
55
Licensed in
NJ
In the registry since
2006

Practice location Address checks out

15-01 Broadway (suite) Ste 38
Fairlawn, NJ 07410
Phone: (201) 791-9241
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 30507 (NJ)

Record details

NPI number1912941691
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 15, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1971 (55 years in practice)
Group practice County Of Essex — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount