Individual provider Active NPI

Tanuja Tejesvi Penmatsa, M.D

  • Obstetrics & Gynecology Physician
  • Jacksonville, FL
National Provider Identifier
1295962363
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA09783400 Issued in NJ
Practice address
800 Prudential Dr
Jacksonville, FL 32207-8202
Phone
(904) 202-2000
NPI assigned
Jun 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME164714 FL
Obstetrics & Gynecology Physician 207V00000X 25MA09783400 NJ Primary

Addresses

Primary practice location

800 Prudential Dr
Jacksonville, FL 32207-8202

Mailing address

707 Greenland SQ
Highland Park, NJ 08904-2773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160229000464 NJ Practitioner - Obstetrics/Gynecology 8224263603 Reassigns benefits to 5 organizations
I20241204003223 FL Practitioner - Obstetrics/Gynecology 8224263603 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5596

175 High St
Newton, NJ 07860-1004
Phone (973) 383-2121

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Oct 22, 2024 Accepting new patients
Medical Associates of Englewood, PC CurrentSince Jan 25, 2016 Accepting new patients
Physician Partners of Englewood, PC Obstetrics & Gynecology CurrentSince Sep 2, 2023 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 1, 2021 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 1, 2021 Accepting new patients
Palisades Medical Associates LLC CurrentSince Jan 25, 2016 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Oct 22, 2024 Accepting new patients
Practice Associates Medical Group Obstetrics & Gynecology CurrentSince Jun 1, 2019 Accepting new patients
Ocean Perinatology PLLC PastSince Jul 1, 2008 Accepting new patients
Englewood Hospital and Medical Center Past Accepting new patients
Palisades House Physicians, PC Past Accepting new patients

Locations

800 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-2000

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

1000 W Moreno St
Pensacola, FL 32501
Phone (850) 434-4011

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

968 River Rd
Ste 203
Edgewater, NJ 07020
Phone (201) 224-8328

65 James St
Edison, NJ 08820
Phone (732) 321-7010

350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

609 Washington St
#2
Hoboken, NJ 07030
Phone (201) 659-7700

609 Washington St
Hoboken, NJ 07030
Phone (201) 659-7700

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

179 High St
Newton, NJ 07860
Phone (973) 383-4500

175 High St
Newton, NJ 07860
Phone (973) 383-2121

7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736

Interoperability endpoints

  • Direct secure messaging: tpenmatsa236737@direct.englewoodhealth.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1295962363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 GREENLAND SQ",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PRUDENTIAL DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078202",
            "telephone_number": "904-202-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENMATSA",
        "first_name": "TANUJA",
        "middle_name": "TEJESVI",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-16",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME164714",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA09783400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.