Individual provider Active NPI

Jyothsna Mupparaju, MD

  • Internal Medicine Physician
  • Toms River, NJ
National Provider Identifier
1861771941
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA09459900 Issued in NJ
Practice address
99 Highway 37 W
Toms River, NJ 08755-6423
Phone
(732) 557-8000
NPI assigned
Aug 8, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 25MA09459900 NJ Primary

Addresses

Primary practice location

99 Highway 37 W
Toms River, NJ 08755-6423

Mailing address

413 Lakehurst Rd
Toms River, NJ 08755-7388
Phone (732) 703-7940

Other practice location 1

413 Lakehurst Rd
Toms River, NJ 08755-7388
Phone (732) 703-7940

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
I20141013000451 NJ Practitioner - HospitalistPractitioner - Internal Medicine 4789804808 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

413 Lakehurst Rd
Suite 200
Toms River, NJ 08755-7382
Phone (732) 703-7940

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Global Health Solutions Inc Single Specialty CurrentSince May 20, 2018 Accepting new patients
NJ Acute Care Specialists Professional Corporation Single Specialty CurrentSince Feb 23, 2024 Accepting new patients
Community Medical Center Inc Past Accepting new patients

Locations

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

413 Lakehurst Rd
Ste 200
Toms River, NJ 08755
Phone (732) 557-4777

99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000

Organizations & group practices 3

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": "1312761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1861771941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 LAKEHURST RD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087557388",
            "telephone_number": "732-703-7940",
            "fax_number": "267-367-5865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 HIGHWAY 37 W",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556423",
            "telephone_number": "732-557-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "413 Lakehurst Rd",
            "address_purpose": "LOCATION",
            "city": "Toms River",
            "state": "NJ",
            "postal_code": "087557388",
            "country_code": "US",
            "telephone_number": "732-703-7940",
            "fax_number": "267-367-5865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUPPARAJU",
        "first_name": "JYOTHSNA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-08",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA09459900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.