Active NPI
Vijaya Chellapilla, VIJAYA CHELLAPILLA
- Internal Medicine Physician
- Jersey City, NJ
National Provider Identifier
1912357153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MAO6276000
- Practice address
- 96 Coles St # 3
Jersey City, NJ 07302-2322 - Phone
- (201) 484-0759
- NPI assigned
- Jun 19, 2016
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MAO6276000 | NJ | Primary |
Addresses
Primary practice location
96 Coles St # 3
Jersey City, NJ 07302-2322
Mailing address
96 Coles St # 3
Jersey City, NJ 07302-2322
Phone (201) 484-0759
Other names 1
- Dr. Vijaya Chellapilla
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MAO6276000 | NJ | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466294400000",
"number": "1912357153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96 COLES ST # 3",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073022322",
"telephone_number": "201-484-0759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 COLES ST # 3",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073022322",
"telephone_number": "201-484-0759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHELLAPILLA",
"first_name": "VIJAYA",
"name_prefix": "Dr.",
"credential": "VIJAYA CHELLAPILLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-19",
"last_updated": "2016-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MAO6276000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VIJAYA",
"last_name": "CHELLAPILLA",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
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 Jun 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.