Individual provider Active NPI

Jayesh Gajendrabhai Kanuga, M.D. FACAAI, FACA

  • Allergy & Immunology Physician
  • Edison, NJ
National Provider Identifier
1689607871
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
25MA03708800 Issued in NJ
Practice address
1740 Oak Tree Rd
Edison, NJ 08820-2847
Phone
(732) 321-1920
Fax
(732) 906-1781
NPI assigned
Jul 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 25MA03708800 NJ Primary

Addresses

Primary practice location

1740 Oak Tree Rd
Edison, NJ 08820-2847

Mailing address

6 Thistle LN
Holmdel, NJ 07733-1200
Phone (732) 275-9001

Other identifiers 1

IdentifierTypeStateIssuer
1398300MedicaidNJ

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
I20080902000222 NJ Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 3678649464 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adult & Pediatric Allergist of Central Jersey PA Allergy & Immunology CurrentSince Apr 1, 2000 Accepting new patients

Locations

1740 Oak Tree Rd
Edison, NJ 08820
Phone (732) 494-5000

3 Hospital Plz
Ste 405
Old Bridge, NJ 08857
Phone (732) 360-1133

Interoperability endpoints

  • Direct secure messaging: kanuga.jayesh.004.0300100@adacj.meditab.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689607871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 THISTLE LN",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331200",
            "telephone_number": "732-275-9001",
            "fax_number": "732-906-1781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 OAK TREE RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202847",
            "telephone_number": "732-321-1920",
            "fax_number": "732-906-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANUGA",
        "first_name": "JAYESH",
        "middle_name": "GAJENDRABHAI",
        "name_prefix": "Dr.",
        "credential": "M.D. FACAAI, FACA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NJ",
            "license": "25MA03708800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1398300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.