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

Madhuri Ponnaluri

Individual provider Pediatric Nurse Practitioner · NPI 1083387591

Madhuri Ponnaluri is a Pediatric Nurse Practitioner in Newark, New Jersey. Licensed in New Jersey. Registered with an NPI since 2021.

Licensed in
NJ
In the registry since
2021

Practice location Address checks out

741 Broadway
Newark, NJ 07104-4309
Phone: (973) 483-1300
Fax: (973) 676-1396
Show map & directions

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 26NJ01197700 (NJ)

Record details

NPI number1083387591
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 29, 2021
Last updated in NPPESMarch 14, 2024
Certification dateMarch 14, 2024

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