Active NPI
Tanuja Tejesvi Penmatsa, M.D
- Obstetrics & Gynecology Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 25MA09783400
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| OB Hospitalist Group LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Medical Associates of Englewood, PC | Current | Accepting new patients | |
| Physician Partners of Englewood, PC | Obstetrics & Gynecology | Current | Accepting new patients |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| OB Hospitalist Group LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Palisades Medical Associates LLC | Current | Accepting new patients | |
| OB Hospitalist Group LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Practice Associates Medical Group | Obstetrics & Gynecology | Current | Accepting new patients |
| Ocean Perinatology PLLC | Past | 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
- tpenmatsa236737@direct.englewoodhealth.org
- 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.
-
- Internal Medicine Physician
- Morristown, NJ
- NPI 1427016385
Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Boca Raton, FL
- NPI 1710647334
-
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
-
- Internal Medicine Physician
- Englewood, NJ
- NPI 1952681918
-
- Internal Medicine Physician
- North Bergen, NJ
- NPI 1558475087
-
- Internal Medicine Physician
- Jersey City, NJ
- NPI 1154671501
Obstetrics & Gynecology
-
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
-
- Obstetrics & Gynecology Physician
- Jacksonville, FL
- NPI 1437991825
-
- Obstetrics & Gynecology Physician
- Winter Haven, FL
- NPI 1851282016
-
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
-
- General Acute Care Hospital
- Englewood, NJ
- NPI 1083612881
-
- Maternal & Fetal Medicine Physician
- Plainview, NY
- NPI 1598918500
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; 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.