Garikiparthy Naga Jyothirmayi, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

25MP00166200 Issued in NJ

Practice address

22 Old Short Hills Rd
Suite # 201
Livingston, NJ 07039-5604

Phone

(973) 535-8870

Fax

(973) 535-8818

NPI assigned

Mar 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407984008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 OLD SHORT HILLS RD",
            "address_2": "SUITE # 201",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395604",
            "telephone_number": "973-535-8870",
            "fax_number": "973-535-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 OLD SHORT HILLS RD",
            "address_2": "SUITE # 201",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395604",
            "telephone_number": "973-535-8870",
            "fax_number": "973-535-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JYOTHIRMAYI",
        "first_name": "GARIKIPARTHY",
        "middle_name": "NAGA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00166200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ LICENSE",
            "identifier": "25MP00166200",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Jukic, RPH
• Barry D Julius, M.D.
• Janet Jungmann, BCBA
• Elizabeth Junker, MD
• Amanda Jurkowski, MS, BCBA
• Margaret Dziadosz Kabnick, M.D.
• Leanne Kacsur, DPT
• Jayme Kaczanoski
• Nicholas M Kaffl, PA-C
• Douglas Kaiden, M.D.

• Medical Physician Assistant in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Medical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.