Individual provider Active NPI

Archana Jayakumar

  • Sleep Medicine (Family Medicine) Physician
  • Summit, NJ
National Provider Identifier
1780145383
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X
License
25MB11912100 Issued in NJ
Practice address
1 Springfield Ave FL 3
Summit, NJ 07901-4055
Phone
(908) 934-0555
Fax
(908) 934-0556
NPI assigned
Mar 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB11912100 NJ
Sleep Medicine (Family Medicine) Physician 207QS1201X 25MB11912100 NJ Primary

Addresses

Primary practice location

1 Springfield Ave FL 3
Summit, NJ 07901-4055

Mailing address

PO Box 416457
Boston, MA 02241-6457
Phone (844) 362-1735

Other practice location 1

8 Saddle Rd Ste 101
Cedar Knolls, NJ 07927-1902
Phone (973) 267-9393

Other practice location 2

477 Broadway
Bayonne, NJ 07002-4797
Phone (862) 236-1090

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
I20230927002465 NJ Practitioner - Sleep MedicinePractitioner - Family Practice 9739533506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sleep MedicineAlso: Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

1 Springfield Ave
Summit, NJ 07901-4055
Phone (908) 934-0555

Hospital & facility affiliations

  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
  • Chilton Medical Center Hospital, Pompton Plains, NJ, CCN 310017
  • Overlook Medical Center Hospital, Summit, NJ, CCN 310051

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Practice Associates Medical Group Family Medicine CurrentSince Aug 21, 2023 Accepting new patients
Ahs Hospital Corp Past Accepting new patients

Locations

8 Saddle Rd
Cedar Knolls, NJ 07927
Phone (973) 267-9393

8 Saddle Rd
Ste 101
Cedar Knolls, NJ 07927
Phone (973) 267-9393

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

1 Springfield Ave
Fl 3
Summit, NJ 07901
Phone (908) 937-0555

1 Springfield Ave
Summit, NJ 07901

Interoperability endpoints

  • Direct secure messaging: ajayakumar186740@direct.ahsys.org

Organizations & group practices 2

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 3

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": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1780145383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416457",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416457",
            "telephone_number": "844-362-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SPRINGFIELD AVE FL 3",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079014055",
            "telephone_number": "908-934-0555",
            "fax_number": "908-934-0556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Saddle Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Cedar Knolls",
            "state": "NJ",
            "postal_code": "079271902",
            "country_code": "US",
            "telephone_number": "973-267-9393",
            "fax_number": "973-540-0472",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "477 Broadway",
            "address_purpose": "LOCATION",
            "city": "Bayonne",
            "state": "NJ",
            "postal_code": "070024797",
            "country_code": "US",
            "telephone_number": "862-236-1090",
            "fax_number": "862-236-1392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAYAKUMAR",
        "first_name": "ARCHANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB11912100",
            "primary": false
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "NJ",
            "license": "25MB11912100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, NJ

Sources for this page

Verify at the official NPI Registry.