Individual provider Active NPI

Jessy Joykutty Thomas, M.D.

  • Family Medicine Physician
  • New Brunswick, NJ
National Provider Identifier
1437387586
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA09161500 Issued in NJ
Practice address
205 Easton Ave Ste 2
New Brunswick, NJ 08901-4410
Phone
(732) 253-4402
Fax
(732) 427-8186
NPI assigned
Jun 28, 2009
Last updated
Dec 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA09161500 NJ Primary

Addresses

Primary practice location

205 Easton Ave Ste 2
New Brunswick, NJ 08901-4410

Mailing address

205 Easton Ave Ste 2
New Brunswick, NJ 08901-4410
Phone (732) 253-4402

Other names 1

  • Jessy Joykutty Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 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
I20121018000368 NJ Practitioner - Family Practice 0143470658 Reassigns benefits to 1 organization
I20241108003723 NY Practitioner - Family Practice 0143470658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Howard University College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

55 E 34TH St
New York, NY 10016-4337
Phone (212) 252-6131

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
330889NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care of New Jersey PC CurrentSince Aug 1, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai Family Medicine CurrentSince Oct 5, 2024 Accepting new patients
Optum Medical Care of New Jersey PC Internal Medicine CurrentSince Aug 1, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Oct 5, 2024 Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients
Advanced Laparoscopic Associates Past Accepting new patients

Locations

506 Broadway
Bayonne, NJ 07002
Phone (201) 471-7012

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

38 Meadowlands Pkwy
Ste 2
Secaucus, NJ 07094
Phone (201) 864-6868

714 10th St
Secaucus, NJ 07094
Phone (201) 863-3346

3403 S Delsea Dr
Vineland, NJ 08360
Phone (856) 293-6974

150 E 42nd St
Fl 9
New York, NY 10017
Phone (646) 605-8119

55 E 34th St
New York, NY 10016
Phone (212) 252-6131

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1246147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1437387586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 EASTON AVE STE 2",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089014410",
            "telephone_number": "732-253-4402",
            "fax_number": "732-427-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 EASTON AVE STE 2",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089014410",
            "telephone_number": "732-253-4402",
            "fax_number": "732-427-8186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JESSY",
        "middle_name": "JOYKUTTY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-28",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA09161500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSY",
            "last_name": "JOYKUTTY",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.