Active NPI
Jayanthi Periasamy, MD
- Psychiatry Physician
- Somerset, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 25MA07322300
- Practice address
- 100 Davidson Ave Ste 203
Somerset, NJ 08873-1312 - Phone
- (732) 563-0033
- Fax
- (732) 563-0035
- NPI assigned
- Mar 22, 2006
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 25MA07322300 | NJ | Primary |
Addresses
Primary practice location
100 Davidson Ave Ste 203
Somerset, NJ 08873-1312
Mailing address
100 Davidson Ave Ste 203
Somerset, NJ 08873-1312
Phone (732) 563-0033
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2911 Route 88
Suite E8
Point Pleasant Boro, NJ 08742-2871
Phone (732) 295-1008
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA07322300 | NJ | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnicle Behavioral Health, LLC | Current | Accepting new patients | |
| Valeo Behavioral Health, Inc. | Current | Accepting new patients | |
| Rutgers Health - Behavioral Health | Psychiatry | Current | Accepting new patients |
| Rutgers Health - Behavioral Health | Psychiatry | Current | Accepting new patients |
| Insights Behavioral Health, LLC | Psychiatry | Past | Accepting new patients |
| Bridges Behavioral Health Care | Psychiatry | Past | Accepting new patients |
| Meridian Hospitals Corporation, Inc. Dba Jersey Shore University Medic | Psychiatry | Past | Accepting new patients |
Locations
100 Metroplex Dr
Fl 2
Edison, NJ 08817
183 S Orange Ave
Newark, NJ 07103
Phone (973) 972-0004
667 Hoes Ln W
Piscataway, NJ 08854
Phone (732) 235-5730
2911 Route 88
Ste E8
Point Pleasant Boro, NJ 08742
Phone (732) 295-1008
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 and National Provider Directory roles.
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- NPI 1285953976
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- NPI 1144267337
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-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275523200000",
"number": "1912966573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 DAVIDSON AVE STE 203",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088731312",
"telephone_number": "732-563-0033",
"fax_number": "732-563-0035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 DAVIDSON AVE STE 203",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088731312",
"telephone_number": "732-563-0033",
"fax_number": "732-563-0035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERIASAMY",
"first_name": "JAYANTHI",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-22",
"last_updated": "2010-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "25MA07322300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Somerset, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.