Jumana Chatiwala, M.D.
Individual provider Active NPI Internal Medicine Physician · Sparta, NJ
NPI 1215066980 · NPPES record last updated Feb 18, 2015
Key facts
- NPI
- 1215066980
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 25MA07765000 (NJ)
- Practice address
- 89 Sparta Ave
Suite 130
Sparta, NJ 07871-1777 - Phone
- (973) 726-0005
- Fax
- (844) 655-1325
- NPI assigned
- Mar 5, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Hematology
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Regional Cancer Care Associates LLC
Practice addresses (Care Compare)
210 Woodport Rd
Sparta, NJ 07871-2625
Phone (609) 835-2900
218 A Sunset Rd
Willingboro, NJ 08046-1110
Phone (609) 835-2900
30 Prospect Ave
Hackensack, NJ 07601-1915
Phone (844) 346-7222
89 Sparta Ave
Suite 130
Sparta, NJ 07871-1791
Phone (844) 346-7222
Hospital & facility affiliations
- Visiting Nurse Assoc of Northern New Jersey, Inc
- Atlantic Visiting Nurse
- Karen Ann Quinlan Hospice
- Newton Medical Center
- Morristown Medical Center
- Ahs Hospital Corp
- Westchester Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.53 of 100
- Quality
- 50.37
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.22
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071226000245 | NJ | Practitioner - Hematology |
6406946730 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Cancer Care Associates LLC | Current |
Accepting new patients | |
| Regional Cancer Care Associates LLC | Current |
Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240
89 Sparta Ave
Ste 130
Sparta, NJ 07871
Phone (973) 726-0005
210 Woodport Rd
Sparta, NJ 07871
Phone (973) 726-0005
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA07765000 | NJ | Yes |
Addresses
Primary practice location
89 Sparta Ave
Suite 130
Sparta, NJ 07871-1777
Mailing address
89 Sparta Ave
Suite 130
Sparta, NJ 07871-1777
NPI Registry JSON
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424217600000",
"number": "1215066980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 SPARTA AVE",
"address_2": "SUITE 130",
"city": "SPARTA",
"state": "NJ",
"postal_code": "078711777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "89 SPARTA AVE",
"address_2": "SUITE 130",
"city": "SPARTA",
"state": "NJ",
"postal_code": "078711777",
"telephone_number": "973-726-0005",
"fax_number": "844-655-1325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHATIWALA",
"first_name": "JUMANA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2015-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA07765000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sparta, NJ
- Centrifical Force Therapy LLC
- Morgan Cerbo
- Mecca Constance Cerny
- Oscar Enrique Cespedes
- Marvin Barry Chartoff
- Karen Chen
- Chiropractic Health Clinic of Sparta, LLC
- Lorraine Chletsos
- Joseph Cifelli
- Rose Melody F Cimafranca
All providers in Sparta, NJ · Internal Medicine Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.