Active NPI
Sujatha Muppala, M.D.
- Internal Medicine Physician
- Edison, NJ
National Provider Identifier
1275730053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA08642700
- Practice address
- 1 Ethel Rd Ste 106a
Edison, NJ 08817 - Phone
- (732) 902-6006
- Fax
- (732) 902-6005
- NPI assigned
- Jun 27, 2007
- Sex
- Female
- 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 | 25MA08642700 | NJ | Primary |
Addresses
Primary practice location
1 Ethel Rd Ste 106a
Edison, NJ 08817
Mailing address
1700 Myrtle Ave
Plainfield, NJ 07063-1000
Phone (908) 753-6401
Other practice location 1
1700 Myrtle Ave
Plainfield, NJ 07063-1000
Phone (908) 753-6401 ext. 1775
Other names 1
- Dr. Sujatha Muppala
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1 Ethel Rd
Suite 106a
Edison, NJ 08817-2838
Phone (732) 902-6006
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA08642700 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Priority Health Associates LLC | Internal Medicine | Current | Accepting new patients |
Locations
1 Ethel Rd
Ste 106A
Edison, NJ 08817
Phone (732) 873-1600
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Edison, NJ
- NPI 1518362086
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba JFK University Medical Center
- General Acute Care Hospital
- Edison, NJ
- NPI 1144894577
-
dba Hackensack Meridian Diagnostic Laboratory
- Clinical Medical Laboratory
- Edison, NJ
- NPI 1780301366
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530748800000",
"number": "1275730053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 MYRTLE AVE",
"city": "PLAINFIELD",
"state": "NJ",
"postal_code": "070631000",
"telephone_number": "908-753-6401",
"fax_number": "908-226-6743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ETHEL RD STE 106A",
"city": "EDISON",
"state": "NJ",
"postal_code": "08817",
"telephone_number": "732-902-6006",
"fax_number": "732-902-6005"
}
],
"practiceLocations": [
{
"address_1": "1700 Myrtle Ave",
"address_purpose": "LOCATION",
"city": "Plainfield",
"state": "NJ",
"postal_code": "070631000",
"country_code": "US",
"telephone_number": "908-753-6401 x1775",
"fax_number": "908-226-6743",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUPPALA",
"first_name": "SUJATHA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-27",
"last_updated": "2018-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA08642700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUJATHA",
"last_name": "MUPPALA",
"prefix": "DR.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.