Individual provider Active NPI

Anand Jetti, MD

  • Internal Medicine Physician
  • Mine Hill, NJ
National Provider Identifier
1568083327
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA12311000 Issued in NJ
Practice address
Internal Medicine of Morris County
195 US 46
Mine Hill, NJ 07803
Phone
(973) 366-6060
NPI assigned
May 4, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA12311000 NJ Primary

Addresses

Primary practice location

Internal Medicine of Morris County
195 US 46
Mine Hill, NJ 07803

Mailing address

1102 Allen Road
Somerset, NJ 08873
Phone (201) 565-4284

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240903000089 NJ Practitioner - Internal Medicine 8729527908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Internal Medicine of Morris County LLCGroup PAC ID 2466428388, 77 clinicians

Practice addresses (Care Compare)

25 Pocono Rd
Denville, NJ 07834-2954
Phone (973) 927-5788

400 W Blackwell St
Dover, NJ 07801-2525
Phone (973) 927-5788

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine of Morris County LLC Internal Medicine CurrentSince Sep 1, 2024 Accepting new patients

Locations

25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1588550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1568083327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 ALLEN ROAD",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "08873",
            "telephone_number": "201-565-4284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "INTERNAL MEDICINE OF MORRIS COUNTY",
            "address_2": "195 US 46",
            "city": "MINE HILL",
            "state": "NJ",
            "postal_code": "07803",
            "telephone_number": "973-366-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JETTI",
        "first_name": "ANAND",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-04",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA12311000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mine Hill, NJ

Sources for this page

Verify at the official NPI Registry.