JAYA REDDY KOTHAPALLY (NPI# 1790894954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790894954 |
Entity Type | Individual |
Full Name | JAYA REDDY KOTHAPALLY |
Credential | M.D |
Practice Address |
218 C. Sunset Road Willingboro NJ 08046 |
Practice Telephone | 6098770400 |
Practice Fax Number | 6098773542 |
Mailing Telephone | 6098770400 |
Mailing Fax Number | 6098773542 |
Enumeration Date | 2006-08-30 |
Last Update Date | 2014-06-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
25MA08944000 | NJ | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | 2006012190 | MO | Student, Health Care |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | MEDICAL LICENSE | 25MA08944000 | 01 |
Street Address |
218 C. SUNSET ROAD |
City | WILLINGBORO |
State | NJ |
Zip Code | 08046 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316548910 | Meghan Chan | Pharmacist | 4296 Us-130, Willingboro, NJ 08046 | 2020-11-02 |
1861004251 | Magdalena Alicja Szostak | Pharmacist | Pharmacy Dept 5987, 4296 Route 130, Willingboro Nj, Willingboro, NJ 08046 | 2020-08-18 |
1114560851 | Brian Paul Leonhardt | Physician Assistant | 1113 Hospital Drive Professional Building East, Suite 100, Willingboro, NJ 08046 | 2019-10-25 |
1144702804 | Iyanuoluwa Oluwafunmiso Alonge | Specialist/Technologist | 2009 Lewis Drive, Willingboro, NJ 08046 | 2018-08-29 |
1972095826 | Felicia Ann Ellis | Behavior Technician | 38 Trinity Turn, Wilingboro, NJ 08046 | 2018-06-05 |
1134630510 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 2091 Route 130 N, Willingboro, NJ 08046 | 2017-10-12 |
1205387560 | Lj's Senior Care Services LLC | Home Health | 8 Peartree Lane, Willingboro, NJ 08046 | 2016-10-20 |
1174976963 | Dungarvin New Jersey, LLC-rancocas Day Program | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1000 Rev Dr Martin Luther King Jr Dr, Willingboro, NJ 08046 | 2016-07-18 |
1548633845 | Caringhouse Projects, Inc | Respite Care | 48 Toledo Lane, Willingboro, NJ 08046 | 2015-11-09 |
1275927352 | Cheryl Louise Avent-price | Social Worker | 130 Tiffany Lane, Willingboro, NJ 08046 | 2015-03-26 |
Find all providers in zip 08046 |
Taxonomy Code | 207RE0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Endocrinology, Diabetes & Metabolism |
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295373645 | Freehold Rheumatology and Endocrinology LLC | Internal Medicine | 535 Iron Bridge Rd Ste 11, Freehold, NJ 07728-5301 | 2019-12-17 |
1396302014 | Advocare, LLC | Internal Medicine | 256 Bunn Dr Ste D, Princeton, NJ 08540-2859 | 2019-05-29 |
1952871667 | Garger Center for Endocrinology PC | Internal Medicine | 10 Sycamore Ave Ste 1, Ho Ho Kus, NJ 07423-1588 | 2018-11-26 |
1962902189 | Mercer Endocrine Care LLC | Internal Medicine | 2139 Route 33 Ste A, Hamilton, NJ 08690-1751 | 2018-02-14 |
1144740739 | Clarion Technology LLC | Internal Medicine | 5000 Atrium Way Ste 3, Mount Laurel, NJ 08054-3915 | 2017-06-23 |
1295115277 | Mabel Mayorga | Internal Medicine | 401 Haddon Ave Fl 2, Camden, NJ 08103 | 2015-06-04 |
1265832463 | Elkin A Nunez Md, LLC | Internal Medicine | 213 Winding Hill Dr, Hackettstown, NJ 07840-5665 | 2014-08-26 |
1962812040 | Reem Taha | Internal Medicine | 2 Lincoln Hwy Ste 502, Edison, NJ 08820-3961 | 2014-04-29 |
1043637192 | Fadwa Sumrein | Internal Medicine | 2 Brighton Rd Ste 400, Clifton, NJ 07012 | 2014-03-26 |
1811335433 | Taher Modarressi | Internal Medicine | 9100 Wescott Dr Ste 101, Flemington, NJ 08822 | 2013-06-05 |
Find all providers with the same taxonomy |
City | WILLINGBORO |
Zip Code | 08046 |
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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.