Active NPI
Anish Kumar Kanukuntla
- Internal Medicine Physician
- Brick, NJ
National Provider Identifier
1245964410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA12694100
- Practice address
- Ocean University Medical Center
425 Jack Martin Blvd.
Brick, NJ 08724 - Phone
- (732) 840-2200
- NPI assigned
- Jul 13, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA12694100 | NJ | Primary |
Addresses
Primary practice location
Ocean University Medical Center
425 Jack Martin Blvd.
Brick, NJ 08724
Mailing address
Ocean University Medical Center
425 Jack Martin Blvd.
Brick, NJ 08724
Phone (732) 840-2200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA12694100 | NJ | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771372800000",
"number": "1245964410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "OCEAN UNIVERSITY MEDICAL CENTER",
"address_2": "425 JACK MARTIN BLVD.",
"city": "BRICK",
"state": "NJ",
"postal_code": "08724",
"telephone_number": "732-840-2200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "OCEAN UNIVERSITY MEDICAL CENTER",
"address_2": "425 JACK MARTIN BLVD.",
"city": "BRICK",
"state": "NJ",
"postal_code": "08724",
"telephone_number": "732-840-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANUKUNTLA",
"first_name": "ANISH KUMAR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-13",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA12694100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.