Active NPI
Anjali Muduli
- Emergency Medicine Physician
- Jersey City, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 25MA09722700
- Practice address
- 355 Grand St
Jersey City, NJ 07302-4321 - Phone
- (201) 915-2200
- NPI assigned
- May 1, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 25MA09722700 | NJ | Primary |
Addresses
Primary practice location
355 Grand St
Jersey City, NJ 07302-4321
Mailing address
355 Grand St
Jersey City, NJ 07302-4321
Phone (201) 915-2200
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
225 Williamson St
Elizabeth, NJ 07202-3625
Phone (908) 994-5422
355 Grand St
Jersey City, NJ 07302-4321
Phone (201) 915-2000
519 Broadway
Bayonne, NJ 07002-3713
Phone (201) 716-5700
Hospital & facility affiliations
- Jersey City Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.07 of 100
- Quality
- 76.5
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA09722700 | NJ | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rwjbh Observation Associates LLC | Emergency Medicine | Current | Accepting new patients |
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| Rwjbh Emergency Medicine Associates, LLC | Emergency Medicine | Current | Accepting new patients |
| Barnabas Health Medical Group PC | Current | Accepting new patients |
Locations
519 Broadway
Bayonne, NJ 07002
Phone (201) 354-1684
225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204
355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224
600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900
475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455
110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833
99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000
1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763
Interoperability endpoints
- amuduli46073@epicdirect.rwjbh.org
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Somerset, NJ
- NPI 1912510041
-
- Specialist
- Elizabeth, NJ
- NPI 1841557246
-
- Emergency Medicine Physician
- Livingston, NJ
- NPI 1760095806
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1316772668
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jersey City, NJ
- NPI 1689744856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474243200000",
"number": "1598023210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 GRAND ST",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073024321",
"telephone_number": "201-915-2200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 GRAND ST",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073024321",
"telephone_number": "201-915-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUDULI",
"first_name": "ANJALI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-01",
"last_updated": "2016-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "25MA09722700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.