Healthcare Provider Details

I. General information

NPI: 1780882092
Provider Name (Legal Business Name): ONEMEDSPACE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 AUSTIN AVE FLOOR #1
ISELIN NJ
08830-2908
US

IV. Provider business mailing address

10 AUSTIN AVE FLOOR #1
ISELIN NJ
08830-2908
US

V. Phone/Fax

Practice location:
  • Phone: 347-515-6676
  • Fax: 866-372-8620
Mailing address:
  • Phone: 347-515-6676
  • Fax: 866-372-8620

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246YC3301X
TaxonomyHospital Based Coding Specialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code246YC3302X
TaxonomyPhysician Office Based Coding Specialist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code247000000X
TaxonomyHealth Information Technician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code246Z00000X
TaxonomyOther Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name: SRINIVAS REDDY ANDE
Title or Position: BUSINESS DEVELOPMENT MANAGER
Credential:
Phone: 310-733-3076