Marykutty Kuriakose, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA39482 Issued in NJ

Practice address

1174 Easton Ave
Somerset, NJ 08873-1611

Phone

(732) 354-0159

Fax

(732) 354-0147

NPI assigned

Aug 15, 2006

Last updated

Jan 11, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Easton Med

  • Family Medicine Physician
  • Somerset, NJ
  • NPI 1780907303
  Authorized official Same address or phone
• Alta Orthopedics PC

  • Orthopaedic Surgery Physician
  • Millburn, NJ
  • NPI 1609415512
  NPD (past)
• Practice Associates Medical Group

  dba Atlantic Medical Group

  • Internal Medicine Physician
  • Morristown, NJ
  • NPI 1427016385
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452470400000",
    "number": "1194738369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1174 EASTON AVE",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731611",
            "telephone_number": "732-354-0159",
            "fax_number": "732-354-0147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1174 EASTON AVE",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731611",
            "telephone_number": "732-354-0159",
            "fax_number": "732-354-0147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURIAKOSE",
        "first_name": "MARYKUTTY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2016-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA39482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1625306",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Solomon S Kuchipudi, M.D.
• Siddharth Kudav, M.D.
• Sheldon J Kukafka, M.D.
• Anand U Kulkarni, M.D.
• Kesar Kunwar, LMFT
• Jinu E Kurian, PTA
• Kevin Kurtz, PT, MPT
• Eliot Michael Kusnetz, M.D.
• Kusum Kapoor,MD,PA (Somerhills Pediatrics)
• Daniel Adam Kvenvik, PTA

• Internal Medicine Physician in Somerset, NJ
• Providers in Somerset, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.