NPIMap

Individual provider Active NPI

Anusuya Jeyakumar, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Trenton, NJ
National Provider Identifier
1447453329
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
25MA06324400 Issued in NJ
Practice address
1330 Rev S Howard Woodson Jr Way
Trenton, NJ 08638-4018
Phone
(609) 396-4222
Fax
(609) 396-4378
NPI assigned
Jun 7, 2007
Last updated
Sep 25, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 25MA06324400 NJ Primary

Addresses

Primary practice location

1330 Rev S Howard Woodson Jr Way
Trenton, NJ 08638-4018

Mailing address

1330 Rev S Howard Woodson Jr Way
Trenton, NJ 08638-4018
Phone (609) 396-4222

Other identifiers 1

IdentifierTypeStateIssuer
6897401MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031209000487 NJ Practitioner - Geriatric MedicinePractitioner - Internal Medicine 7214833474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1330 Rev S Howard Woodson Jr Way
Trenton, NJ 08638-4018
Phone (609) 396-4222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06324400NJMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Windsor Internal Medicine and Geriatria Current Accepting new patients
Capital Health System, Inc. Past Accepting new patients
Capital Health System Inc Past Accepting new patients
Regional Physician Services, NJ, PC Past Accepting new patients
Palisades Medical Associates LLC Past Accepting new patients
Palisades House Physicians, PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: anusuya.jeyakumar@wimg.eclinicaldirectplus.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/5bb47b8f-8587-42a0-80df-8d4eecf69db3/
  • FHIR API: https://fhir4.healow.com/fhir/r4/GHEAED/Endpoint/GHEAED
  • Direct secure messaging: jfelizgarcia100689@epicdirect.rwjbh.org

Organizations & group practices 7

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1447453329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 REV S HOWARD WOODSON JR WAY",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086384018",
            "telephone_number": "609-396-4222",
            "fax_number": "609-396-4378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 REV S HOWARD WOODSON JR WAY",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086384018",
            "telephone_number": "609-396-4222",
            "fax_number": "609-396-4378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEYAKUMAR",
        "first_name": "ANUSUYA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "25MA06324400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6897401",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

Verify at the official NPI Registry.