NPIMap

Individual provider Active NPI

Jumana Chatiwala, M.D.

  • Internal Medicine Physician
  • Sparta, NJ
National Provider Identifier
1215066980
Registry record updated Feb 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07765000 Issued in 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
Last updated
Feb 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA07765000 NJ Primary

Addresses

Primary practice location

89 Sparta Ave
Suite 130
Sparta, NJ 07871-1777

Mailing address

89 Sparta Ave
Suite 130
Sparta, NJ 07871-1777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071226000245 NJ Practitioner - HematologyPractitioner - Medical OncologyPractitioner - Internal Medicine 6406946730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HematologyAlso: Medical Oncology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

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

Merit-based Incentive Payment System (MIPS)

Final score
80.53 of 100Reported as group
Quality
50.37
Promoting interoperability
100
Improvement activities
40
Cost
70.22

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Cancer Care Associates LLC CurrentSince Jul 12, 2014 Accepting new patients
Regional Cancer Care Associates LLC CurrentSince Jul 12, 2014 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

210 Woodport Rd
Sparta, NJ 07871
Phone (973) 726-0005

89 Sparta Ave
Ste 130
Sparta, NJ 07871
Phone (973) 726-0005

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "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

Sources for this page

Verify at the official NPI Registry.