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

Individual provider Physician Assistant · NPI 1487872131

Nandanee Myneni, PA-C is a Physician Assistant in Elizabeth, New Jersey. Qualified in 2006, 20 years ago. Practices with Union Square Medical Associates, PC, a 4-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
20
Licensed in
NJ
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

824 Elizabeth Ave
Elizabeth, NJ 07201-4708
Phone: (908) 352-9556
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00178400 (NJ)

Record details

NPI number1487872131
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 20, 2007
Last updated in NPPESMay 19, 2021
Certification dateMay 19, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Union Square Medical Associates, Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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