Active NPI
Krishna Duvvuri, MD
- Cardiovascular Disease Physician
- Pompton Plains, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MA064053
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8744009 | Medicaid | NJ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA064053 | NJ | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garden State Healthcare Associates, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Medical Associates of Englewood, PC | Current | 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
- kduvvuri236530@direct.englewoodhealth.org
- 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.
-
- Internal Medicine Physician
- Englewood, NJ
- NPI 1952681918
-
- Emergency Medicine Physician
- Bayonne, NJ
- NPI 1700014545
Cardiovascular Disease
-
- Cardiovascular Disease Physician
- Wayne, NJ
- NPI 1063591626
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Morristown Medical Center
- General Acute Care Hospital
- Morristown, NJ
- NPI 1053384776
-
dba Chilton Medical Center
- General Acute Care Hospital
- Pompton Plains, NJ
- NPI 1811994809
-
- General Acute Care Hospital
- Englewood, NJ
- NPI 1083612881
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.