Individual provider Active NPI

Krishna Duvvuri, MD

  • Cardiovascular Disease Physician
  • Pompton Plains, NJ
National Provider Identifier
1073574745
Registry record updated Dec 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MA064053 Issued in NJ
Practice address
476 Newark Pompton Turnpike
Pompton Plains, NJ 07444
Phone
(973) 248-8403
Fax
(973) 839-6015
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2012

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 MA064053 NJ Primary

Addresses

Primary practice location

476 Newark Pompton Turnpike
Pompton Plains, NJ 07444

Mailing address

22-18 Broadway
Fairlawn, NJ 07410-2026
Phone (201) 475-5050

Other identifiers 1

IdentifierTypeStateIssuer
8744009MedicaidNJ

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
I20041208000115 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6103882428 Reassigns benefits to 3 organizations
Practice locations: Pompton Turnpike, NJ; Vernon, NJ; Woodland Park, NJ

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians

Practice addresses (Care Compare)

1225 McBride Ave
Woodland Park, NJ 07424-3813

179 Cahill Cross Rd
Suite 314
West Milford, NJ 07480-1988
Phone (973) 728-1880

22 -02 Broadway
Fair Lawn, NJ 07410-3016

24 Elm St
Harrington Park, NJ 07640-1902
Phone (201) 451-1601

350 Engle S
5TH FL Room 5518
Englewood, NJ 07631-1808
Phone (201) 568-5250

350 Engle St
Englewood, NJ 07631-1808

350 Engle St Main
Suite 256
Englewood, NJ 07631-1808
Phone (201) 894-3364

637 Route 23
Pompton Plains, NJ 07444-1419
Phone (862) 666-9210

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA064053NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Garden State Healthcare Associates, LLC Cardiovascular Disease CurrentSince Jul 1, 2014 Accepting new patients
Medical Associates of Englewood, PC CurrentSince Jul 30, 2016 Accepting new patients

Locations

180 Engle St
Englewood, NJ 07631
Phone (201) 567-2050

22-18 Broadway
Fair Lawn, NJ 07410
Phone (973) 475-5050

22-02 Broadway
Ste 301
Fair Lawn, NJ 07410
Phone (201) 414-5016

22-18 Broadway
Ste 201
Fair Lawn, NJ 07410

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

150 Warren St
Jersey City, NJ 07302
Phone (201) 309-3000

637 Route 23
Ste 100
Pompton Plains, NJ 07444
Phone (862) 297-9696

637 State Rt 23
Ste 200
Pompton Plains, NJ 07444

97 W Parkway
Pompton Plns, NJ 07444
Phone (973) 831-5000

179 Cahill Cross Rd
Ste 314
West Milford, NJ 07480
Phone (973) 728-1880

1225 McBride Ave
Ste 223
Woodland Park, NJ 07424
Phone (973) 595-5345

1225 McBride Ave
Woodland Park, NJ 07424
Phone (908) 277-8699

1225 McBride Ave
Ste 222
Woodland Park, NJ 07424
Phone (973) 852-1353

1225 McBride Ave
Ste 201
Woodland Park, NJ 07424
Phone (973) 256-5557

Interoperability endpoints

  • Direct secure messaging: kduvvuri236530@direct.englewoodhealth.org
  • Direct secure messaging: krishna.duvvuri@direct.carepointhealth.org

Organizations & group practices 3

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 3

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356912000000",
    "number": "1073574745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22-18 BROADWAY",
            "city": "FAIRLAWN",
            "state": "NJ",
            "postal_code": "074102026",
            "telephone_number": "201-475-5050",
            "fax_number": "973-928-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 NEWARK POMPTON TURNPIKE",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "07444",
            "telephone_number": "973-248-8403",
            "fax_number": "973-839-6015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUVVURI",
        "first_name": "KRISHNA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2012-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA064053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8744009",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompton Plains, NJ

Sources for this page

Verify at the official NPI Registry.