NPIMap

Individual provider Active NPI

Jaimin Dudhia, M.D.

  • Internal Medicine Physician
  • Summit, NJ
National Provider Identifier
1609261544
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D11249500 Issued in NJ
Practice address
99 Beauvoir Ave
Summit, NJ 07901-3533
Phone
(908) 522-2000
NPI assigned
Mar 30, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X D11249500 NJ Primary

Addresses

Primary practice location

99 Beauvoir Ave
Summit, NJ 07901-3533

Mailing address

1945 NJ-33
Neptune City, NJ 07753-3533
Phone (732) 775-5500

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
I20180709002786 NJ Practitioner - Internal Medicine 7618223470 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Plover Inpatient Services LLCGroup PAC ID 1355561663, 158 clinicians
BSD Medical Practice II LLCGroup PAC ID 3476062712, 4 clinicians

Practice addresses (Care Compare)

1 Bay Ave
Montclair, NJ 07042-4837
Phone (973) 429-6000

1620 Vauxhall Rd
Suite 100 11
Union, NJ 07083-3409
Phone (908) 882-2025

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
68.71 of 100Reported as individual
Quality
75.49
Improvement activities
0
Cost
73.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D11249500NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Physicians of New Jersey PA Internal Medicine CurrentSince Sep 1, 2020 Accepting new patients
BSD Medical Practice LLC CurrentSince Apr 1, 2025 Accepting new patients
BSD Medical Practice II LLC Internal Medicine CurrentSince Mar 31, 2025 Accepting new patients
Hackensack Rheumatology LLC Past Accepting new patients
HMH Hospitals Corporation Past Accepting new patients
Stella MD Clinical Practice PC Past Accepting new patients

Locations

65 James St
Edison, NJ 08820
Phone (732) 321-7010

385 Prospect Ave
Ste 214
Hackensack, NJ 07601
Phone (201) 498-9060

1620 Vauxhall Rd
Ste 10011
Union, NJ 07083
Phone 7182225999213

Interoperability endpoints

  • Direct secure messaging: jaimin.dudhia.1@30617.direct.athenahealth.com

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 10

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": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1609261544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 NJ-33",
            "city": "NEPTUNE CITY",
            "state": "NJ",
            "postal_code": "077533533",
            "telephone_number": "732-775-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 BEAUVOIR AVE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013533",
            "telephone_number": "908-522-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDHIA",
        "first_name": "JAIMIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-30",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "D11249500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, NJ

Sources for this page

Verify at the official NPI Registry.