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

Individual provider Internal Medicine Physician · NPI 1366977324

Neethu Gopisetti, MD is a Nephrology in Brick, New Jersey. Qualified in 2012, 14 years ago. Practices with Northeast Kidney Care LLC, a 66-clinician group and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
14
Licensed in
NJ, PA
In the registry since
2017
Specialties on file
2
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

210 Jack Martin Blvd Ste D1
Brick, NJ 08724-3063
Phone: (732) 458-5854
Fax: (732) 458-8012
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 25MA11355500 (NJ)
Internal Medicine Physician Taxonomy 207R00000X · Licence MT212548 (PA)

Record details

NPI number1366977324
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 27, 2017
Last updated in NPPESSeptember 6, 2022
Certification dateSeptember 6, 2022
Mailing address210 Jack Martin Blvd Ste D1, Brick, NJ 08724-3063

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Northeast Kidney Care Llc — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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