Individual provider Active NPI

Jyoti S Matta, MD

  • Pulmonary Disease Physician
  • Jersey City, NJ
National Provider Identifier
1104882588
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
25MA06579600 Issued in NJ
Practice address
377 Jersey Ave
Ste 470
Jersey City, NJ 07302-4393
Phone
(201) 918-2239
Fax
(201) 918-2243
NPI assigned
Apr 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA06579600 NJ
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 25MA06579600 NJ
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 25MA06579600 NJ
Sleep Medicine (Internal Medicine) Physician 207RS0012X 25MA06579600 NJ
Pulmonary Disease Physician 207RP1001X 25MA06579600 NJ Primary

Addresses

Primary practice location

377 Jersey Ave
Ste 470
Jersey City, NJ 07302-4393

Mailing address

377 Jersey Ave
Ste 470
Jersey City, NJ 07302-4393
Phone (201) 918-2239

Other identifiers 1

IdentifierTypeStateIssuer
8040702MedicaidNJ

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
I20080328000062 NJ Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 1052495603 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rwjbh Observation Associates LLCGroup PAC ID 5193137503, 995 clinicians
Barnabas Health Medical Group PCGroup PAC ID 9537316955, 1,027 clinicians

Practice addresses (Care Compare)

355 Grand St
Jersey City, NJ 07302-4321
Phone (201) 915-2000

634 Summit Ave
Jersey City, NJ 07306-3705
Phone (201) 897-7700

Hospital & facility affiliations

  • Jersey City Medical Center Hospital, Jersey City, NJ, CCN 310074

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Hospital Opco LLC Current Accepting new patients
Rwjbh Observation Associates LLC Internal Medicine CurrentSince May 25, 2023 Accepting new patients
New Jersey Medical and Health Associates,LLC Internal Medicine CurrentSince Dec 1, 2016 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Mar 1, 2020 Accepting new patients
Barnabas Health Medical Group PC Internal Medicine CurrentSince Mar 1, 2020 Accepting new patients

Locations

519 Broadway
Ste 3600
Bayonne, NJ 07002
Phone (551) 214-3540

1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008

59 Newark St
Hoboken, NJ 07030
Phone (201) 656-4800

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

377 Jersey Ave
Ste 470
Jersey City, NJ 07302
Phone (201) 216-9791

176 Palisade Ave
Jersey City, NJ 07306
Phone (201) 795-8200

355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224

935 Garfield Ave
Jersey City, NJ 07304
Phone (201) 478-5800

634 Summit Ave
Jersey City, NJ 07306
Phone (201) 222-9370

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

235 Millburn Ave
Ste 101
Millburn, NJ 07041
Phone (973) 376-8034

3 Executive Dr
Ste 400
Somerset, NJ 08873
Phone (732) 369-5949

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

Interoperability endpoints

  • Direct secure messaging: jmatta46047@epicdirect.rwjbh.org
  • Direct secure messaging: jyoti.matta@direct.rwjbh.org
  • Direct secure messaging: jyoti.matta@direct.christhospital.md

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 2

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1104882588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 JERSEY AVE",
            "address_2": "STE 470",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073024393",
            "telephone_number": "201-918-2239",
            "fax_number": "201-918-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 JERSEY AVE",
            "address_2": "STE 470",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073024393",
            "telephone_number": "201-918-2239",
            "fax_number": "201-918-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTA",
        "first_name": "JYOTI",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06579600",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NJ",
            "license": "25MA06579600",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NJ",
            "license": "25MA06579600",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NJ",
            "license": "25MA06579600",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MA06579600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8040702",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.