Jessica L Pu, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA08718500 Issued in NJ

Practice address

1802 Oak Tree Rd Ste 101
Edison, NJ 08820-2704

Phone

(732) 548-3210

Fax

(732) 228-8416

NPI assigned

Aug 29, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3487/brand/1/csg/1/fhir/r4

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.

• Consensus Medical Group LLC

  • Internal Medicine Physician
  • Manasquan, NJ
  • NPI 1811466881

  Pediatrics

  NPD (past)
• Nimisha Shukla, M.D., P.a.

  • Pediatrics Physician
  • Edison, NJ
  • NPI 1073854113
  NPD (past)
• Open Door Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hartford City, IN
  • NPI 1245094028
  NPD (past)

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1497949796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 COBBLESTONE BLVD",
            "city": "MONROE",
            "state": "NJ",
            "postal_code": "088317965",
            "telephone_number": "412-580-7519",
            "fax_number": "732-228-8416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 OAK TREE RD STE 101",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202704",
            "telephone_number": "732-548-3210",
            "fax_number": "732-228-8416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 S Madison St",
            "address_purpose": "LOCATION",
            "city": "Muncie",
            "state": "IN",
            "postal_code": "473052465",
            "country_code": "US",
            "telephone_number": "765-286-7000 x4125",
            "fax_number": "765-213-2769",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 S Madison St",
            "address_purpose": "LOCATION",
            "city": "Muncie",
            "state": "IN",
            "postal_code": "473052465",
            "country_code": "US",
            "telephone_number": "765-286-7000 x4125",
            "fax_number": "765-213-2769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PU",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA08718500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dolores Prontnicki, PMHCNS-BC
• Carly Anne Proper, MS, LAC, NCC
• Prosthodontic Associates of New Jersey Professional Association
• Gregory J. Przybylski, MD
• PT Advantage
• Pulmonary & Critical Care Associates,PA
• Pulmonary Critical Care and Sleep Associates of Somerset
• Pulmonary Internists, P.a.
• Amiah Purcell
• Amarpal Kaur Purewal, MD

• Pediatrics Physician in Edison, NJ
• Providers in Edison, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.