Individual provider Active NPI

Anjali Dutta, M.D.

  • Cardiovascular Disease Physician
  • Morristown, NJ
National Provider Identifier
1063850949
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA11316400 Issued in NJ
Practice address
95 Madison Ave Ste 300
Morristown, NJ 07960-6389
Phone
(973) 898-0400
NPI assigned
Jun 12, 2013
Last updated
Dec 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 25MA11316400 NJ Primary

Addresses

Primary practice location

95 Madison Ave Ste 300
Morristown, NJ 07960-6389

Mailing address

PO Box 416457
Boston, MA 02241-6457
Phone (908) 947-7010

Other practice location 1

50 Cherry Hill Rd Ste 301
Parsippany, NJ 07054-1101
Phone (973) 972-7048

Other practice location 2

1125 Route 22 Ste 170
Bridgewater, NJ 08807-2939
Phone (908) 947-7010

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
I20220119000960 NJ Practitioner - Cardiovascular Disease (Cardiology) 2961634084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5596

1125 US Hwy 22
Suite 170
Bridgewater, NJ 08807-2939
Phone (908) 947-7011

333 Mount Hope Ave
Rockaway, NJ 07866-1645
Phone (973) 895-6601

50 Cherry Hill Rd
Suite 301
Parsippany, NJ 07054-1101
Phone (973) 971-7048

8 Tempe Wick Rd
Mendham, NJ 07945-1814
Phone (973) 543-2288

95 Madison Ave
Suite 204
Morristown, NJ 07960-6390
Phone (973) 971-7440

95 Madison Ave
Suite 304
Morristown, NJ 07960-6389
Phone (973) 971-7165

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA11316400NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Practice Associates Medical Group Internal Medicine CurrentSince Feb 1, 2022 Accepting new patients
Ahs Hospital Corp PastSince Jan 1, 2022 Accepting new patients

Locations

1125 US Highway 22
Ste 170
Bridgewater, NJ 08807
Phone (908) 947-7010

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

465 South St
Ste 200
Morristown, NJ 07960
Phone (973) 971-7130

95 Madison Ave
Ste 300
Morristown, NJ 07960
Phone (973) 898-0400

50 Cherry Hill Rd
Ste 301
Parsippany, NJ 07054
Phone (973) 335-1700

Organizations & group practices 2

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

Hospital & facility affiliations 5

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": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1063850949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416457",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416457",
            "telephone_number": "908-947-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 MADISON AVE STE 300",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606389",
            "telephone_number": "973-898-0400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Cherry Hill Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Parsippany",
            "state": "NJ",
            "postal_code": "070541101",
            "country_code": "US",
            "telephone_number": "973-972-7048",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1125 Route 22 Ste 170",
            "address_purpose": "LOCATION",
            "city": "Bridgewater",
            "state": "NJ",
            "postal_code": "088072939",
            "country_code": "US",
            "telephone_number": "908-947-7010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUTTA",
        "first_name": "ANJALI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-12",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA11316400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.