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

Sundeep Gidugu, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104408897

Sundeep Gidugu, DO is a Family Practice in Vineland, New Jersey. Graduated from Nova Southeastern College of Osteo Medicine in 2021, 5 years ago. Practices with Practice Associates Medical Group, a 1,403-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
5
Trained at
Nova Southeastern College of Osteo Medicine
Licensed in
NJ
In the registry since
2021
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1505 W Sherman Ave
Vineland, NJ 08360-7059
Phone: (856) 641-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 25MB12348300 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104408897
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 22, 2021
Last updated in NPPESSeptember 5, 2024
Certification dateSeptember 5, 2024
Mailing address1505 W Sherman Ave, Vineland, NJ 08360-7059

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolNOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated 2021 (5 years in practice)
Group practice Practice Associates Medical Group — 1403 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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