Individual provider Active NPI

Jayalakshmi Ganapathy, MD

  • Internal Medicine Physician
  • North Arlington, NJ
National Provider Identifier
1942292479
Registry record updated Apr 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA03515300 Issued in NJ
Practice address
8 Hedden Ter
North Arlington, NJ 07031-6109
Phone
(201) 991-6363
Fax
(201) 991-6330
NPI assigned
Aug 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA03515300 NJ Primary
General Practice Physician 208D00000X 25MA03515300 NJ
Pediatrics Physician 208000000X LT1129 SD

Addresses

Primary practice location

8 Hedden Ter
North Arlington, NJ 07031-6109

Mailing address

PO Box 1706
Rutherford, NJ 07070-0706
Phone (201) 991-6363

Other identifiers 3

IdentifierTypeStateIssuer
P00666432OtherNJRAILROAD MEDICARE
32405OtherNJUHP NON PAR #
3671003MedicaidNJ

Other names 1

  • Jay Muthuswamy Former name

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
LT1129SDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Physicians of North Jersey, PC Internal Medicine PastSince Dec 8, 2006 Accepting new patients
Clara Maass Medical Center House Physicians Internal Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jganapathy191480@ahs.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271030400000",
    "number": "1942292479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1706",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070700706",
            "telephone_number": "201-991-6363",
            "fax_number": "201-991-6330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 HEDDEN TER",
            "city": "NORTH ARLINGTON",
            "state": "NJ",
            "postal_code": "070316109",
            "telephone_number": "201-991-6363",
            "fax_number": "201-991-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANAPATHY",
        "first_name": "JAYALAKSHMI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-19",
        "last_updated": "2010-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA03515300",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NJ",
            "license": "25MA03515300",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SD",
            "license": "LT1129",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00666432",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHP NON PAR #",
            "identifier": "32405",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3671003",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAY",
            "last_name": "MUTHUSWAMY",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Arlington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.