JAYA REDDY KOTHAPALLY


Address: 218 C. Sunset Road, Willingboro, NJ 08046
Phone: 6098770400

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
NJ MEDICAL LICENSE 25MA08944000 01

Office Location

Street Address 218 C. SUNSET ROAD
City WILLINGBORO
State NJ
Zip Code 08046

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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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
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Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

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.

Providers in the same taxonomy and state

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
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Competitor

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City WILLINGBORO
Zip Code 08046

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Dataset Information

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.

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