Individual provider Active NPI

Kavitha Thukkaram, M.D

  • Internal Medicine Physician
  • Metuchen, NJ
National Provider Identifier
1003854282
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA72859 Issued in NJ
Practice address
212 Bridge St
Metuchen, NJ 08840-2290
Phone
(732) 632-1700
Fax
(732) 632-1704
NPI assigned
Jun 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X MA72859 NJ
Obesity Medicine (Preventive Medicine) Physician 2083B0002X MA72859 NJ
Internal Medicine Physician 207R00000X MA72859 NJ Primary

Addresses

Primary practice location

212 Bridge St
Metuchen, NJ 08840-2290

Mailing address

212 Bridge St
Metuchen, NJ 08840-2290
Phone (732) 632-1700

Other identifiers 1

IdentifierTypeStateIssuer
0005681MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110209000951 NJ Practitioner - Internal MedicinePractitioner - Hospice/Palliative Care 1355521238 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospice/Palliative Care
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

212 Bridge St
Metuchen, NJ 08840-2254
Phone (732) 632-1700

Hospital & facility affiliations

  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108
  • Embassy Manor at Edison Nursing and Rehabilitation Nursing home, Edison, NJ, CCN 315279
  • Rose Mountain Care Center Nursing home, New Brunswick, NJ, CCN 315384

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA72859NJMDHospice and Palliative Medicine (Internal Medicine) Physician
25MA07285900NJMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Medical Care LLC Internal Medicine CurrentSince Jun 3, 2003 Accepting new patients
Pai Participant 25 PC CurrentSince Sep 15, 2025 Accepting new patients
Medical Care Associates LLC Past Accepting new patients
Rita U. Goradia, M.D. P.C. PastSince Jun 18, 2018 Accepting new patients
Edison Healthcare LLC Past Accepting new patients

Locations

10 Brunswick Ave
Edison, NJ 08817
Phone (732) 282-3000

1361 Route 72 W
Manahawkin, NJ 08050
Phone (609) 978-0600

205 Bridge St
Metuchen, NJ 08840
Phone (718) 795-7586

212 Bridge St
Metuchen, NJ 08840
Phone (732) 632-1700

212 Bridge St
Bldg D
Metuchen, NJ 08840

290 Red School Ln
Phillipsburg, NJ 08865
Phone (908) 859-2800

Interoperability endpoints

  • Direct secure messaging: admin@thukkaram.e-mdsdirect.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1003854282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 BRIDGE ST",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402290",
            "telephone_number": "732-632-1700",
            "fax_number": "732-632-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 BRIDGE ST",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402290",
            "telephone_number": "732-632-1700",
            "fax_number": "732-632-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THUKKARAM",
        "first_name": "KAVITHA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NJ",
            "license": "MA72859",
            "primary": false
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "NJ",
            "license": "MA72859",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA72859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005681",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metuchen, NJ

Sources for this page

Verify at the official NPI Registry.