DR. JOLLY M KURUVILLA (NPI# 1487267480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487267480 |
| Entity Type | Individual |
| Full Name | DR. JOLLY M KURUVILLA |
| Practice Address |
375 Mount Pleasant Ave West Orange NJ 07052-2750 |
| Mailing Address |
94 Old Short Hills Rd Ste 1 Livingston NJ 07039-5668 |
| Practice Telephone | 9736681577 |
| Mailing Telephone | 9733228010 |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
26NJ01048600 | NJ | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 94 Old Short Hills Rd Ste 1, Livingston, NJ 070395668 | 9733225000 |
| Street Address |
375 MOUNT PLEASANT AVE |
| City | WEST ORANGE |
| State | NJ |
| Zip Code | 07052-2750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760481493 | Diagnostic & Clinical Cardiology, Pa | Internal Medicine | 375 Mount Pleasant Ave, West Orange, NJ 07052-2724 | 2005-07-15 |
| 1174153142 | Patricia Ann Cortina | Physical Therapist | 375 Mount Pleasant Ave, West Orange, NJ 07052-2750 | 2020-01-18 |
| 1053824912 | Adila Asim Fakhar | Dietitian, Registered | 375 Mount Pleasant Ave, West Orange, NJ 07052-2750 | 2017-11-14 |
| 1306299300 | Maria Villette Ganancial | Nurse Practitioner | 375 Mount Pleasant Ave, West Orange, NJ 07052-2750 | 2016-07-14 |
| 1841668456 | Urology Group of Nj LLC | Urology | 375 Mount Pleasant Ave, Suite 250, West Orange, NJ 07052-2750 | 2015-09-14 |
| 1295070811 | Total Renal Care Inc | Clinic/Center | 375 Mount Pleasant Ave, Ste 340, West Orange, NJ 07052-2724 | 2012-12-07 |
| 1891061065 | Victoria Christina Desantos | Obstetrics & Gynecology | 375 Mount Pleasant Ave, West Orange, NJ 07052-2750 | 2012-04-01 |
| 1568734739 | Associates In Obstetrics Gynecology and Infertility LLC | Obstetrics & Gynecology | 375 Mount Pleasant Ave, Suite 202, West Orange, NJ 07052-2724 | 2012-02-03 |
| 1225281272 | Lisa G. Belinfanti | Nurse Practitioner | 375 Mount Pleasant Ave, West Orange, NJ 07052-2724 | 2008-11-03 |
| 1861659476 | James M Lopes | Surgery | 375 Mount Pleasant Ave, West Orange, NJ 07052-2750 | 2008-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134730278 | Robert Jason Lipka | Pharmacist | Eagle Rock Pharmacy, 470 Pleasant Valley Way, West Orange, NJ 07052 | 2020-08-12 |
| 1790317378 | Attain & Gain Counseling, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 15 Ralph Road, West Orange, NJ 07052 | 2020-02-11 |
| 1508336140 | Total Family Solutions, LLC | Community/Behavioral Health | 80 Main Street Suite 410, West Orange, NJ 07052 | 2018-11-27 |
| 1639660202 | Valeria Ripa | Student in an Organized Health Care Education/Training Program | 141 Old Short Hills Rd Apt 7, West Orange, NJ 07052 | 2018-05-19 |
| 1316441967 | Ariel Yehdua Pedoeem | Student in an Organized Health Care Education/Training Program | 139 Riverside Drive, Binghamton, NY 07052 | 2018-03-20 |
| 1407367576 | Outpatient Usa | Neurological Surgery | 475 Prospect Avenue, Suite 110, West Orange, NJ 07052 | 2017-10-17 |
| 1962911578 | Anchor Behavioral Solutions LLC | Community/Behavioral Health | 59 Main St Ste 310, West Orange, NJ 07052 | 2017-09-26 |
| 1710400411 | Rohma Shaikh | Student in an Organized Health Care Education/Training Program | 115 Old Short Hills Road, Apt 570, West Orange, NJ 07052 | 2017-07-25 |
| 1326571811 | Celestina Enuma | Clinical Nurse Specialist | 200 Mt. Pleasant Ave. Apt O12, West Orange, NJ 07052 | 2017-04-11 |
| 1073065777 | Livia Derdova | Optometrist | 101 Old Short Hills Rd., Suite 430, West Orange, NJ 07052 | 2016-10-28 |
| Find all providers in zip 07052 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831257971 | G Lalla | Family Medicine | 383 Northfield Avenue, West Orange, NJ 07052 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215456983 | Amanda Jo Henning | Family Medicine | 1100 Westcott Dr, Flemington, NJ 08822 | 2017-09-14 |
| 1538694963 | Kathleen Carpio | Family Medicine | 1300 State Route 35 Unit 204, Ocean, NJ 07712-3533 | 2017-04-24 |
| 1396286597 | Melissa Maxine Gonzalez | Family Medicine | 1300 Highway 35 Unit 101, Ocean, NJ 07712-3533 | 2017-03-20 |
| 1821470923 | Jenee P Skinner-hamler | Family Medicine | 112 Camelot Cir, Mays Landing, NJ 08330-4907 | 2015-06-24 |
| 1104262948 | Sarah Uddin | Family Medicine | 43 Yawpo Ave Ste 3, Oakland, NJ 07436-2717 | 2013-05-20 |
| 1841514510 | Henry G Schriever | Family Medicine | 9 Sandy Cove Ln, Beach Haven, NJ 08008-6154 | 2010-03-24 |
| 1487985552 | David Abend Do Pa | Family Medicine | 400 Old Hook Rd Ste 2-6, Westwood, NJ 07675-2720 | 2010-01-28 |
| 1053647636 | Ira L Fox | Family Medicine | 23 Green Acre Way, Glassboro, NJ 08028-2706 | 2009-11-02 |
| 1235360892 | Panfilo G Canton | Family Medicine | 182 Derby Dr., Freehold, NJ 07728-2766 | 2009-07-30 |
| 1801051875 | Angelique L Colbert | Family Medicine | 36 Lancaster Dr, Westampton, NJ 08060-2453 | 2008-07-18 |
| Find all providers with the same taxonomy | ||||
| City | WEST ORANGE |
| Zip Code | 07052 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.