Individual provider Active NPI

Eunice Modupe Martins Defilippo, MD

  • Internal Medicine Physician
  • New Brunswick, NJ
National Provider Identifier
1962992008
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA11565000 Issued in NJ
Practice address
125 Paterson Street
Department of Internal Medicine Suite 5100
New Brunswick, NJ 08901-3220
Phone
(732) 235-6968
NPI assigned
May 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA11565000 NJ
Internal Medicine Physician 207R00000X 25MA11565000 NJ Primary

Addresses

Primary practice location

125 Paterson Street
Department of Internal Medicine Suite 5100
New Brunswick, NJ 08901-3220

Mailing address

125 Paterson Street
Department of Internal Medicine Suite 5100
New Brunswick, NJ 08901-3220
Phone (732) 235-6968

Other practice location 1

20 York St
New Haven, CT 06510-3220
Phone (203) 688-4242

Other names 1

  • Eunice Modupe Martins Former name

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
I20221207002557 NJ Practitioner - Internal Medicine 7911242722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Yale University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rutgers Health-RWJ Primary Medicine GroupGroup PAC ID 7911972674, 42 clinicians

Practice addresses (Care Compare)

125 Paterson St
New Brunswick, NJ 08901-1962
Phone (732) 235-6968

Hospital & facility affiliations

  • Robert Wood Johnson University Hospital Hospital, New Brunswick, NJ, CCN 310038

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as apm
Quality
84.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health-RWJ Scleroderma Program Current Accepting new patients
Rutgers RWJ Eric B. Chandler Health Center Current Accepting new patients
Rutgers Health-RWJ Primary Medicine Group Internal Medicine CurrentSince Nov 1, 2022 Accepting new patients
Rutgers Health-RWJ Primary Medicine Group Internal Medicine Current Accepting new patients
Rutgers Health-RWJ Primary Medicine Group Pediatrics CurrentSince Nov 1, 2022 Accepting new patients

Locations

125 Paterson St
Ste 5100A
New Brunswick, NJ 08901
Phone (609) 655-5175

125 Paterson St
New Brunswick, NJ 08901
Phone (732) 235-6511

123 Church St
New Brunswick, NJ 08901
Phone (732) 235-2052

277 George St
New Brunswick, NJ 08901
Phone (732) 235-6700

125 Paterson St
Ste 5100
New Brunswick, NJ 08901
Phone (732) 235-7060

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

125 Paterson St
#5100A
New Brunswick, NJ 08901

1 Worlds Fair Dr
Fl 1
Somerset, NJ 08873
Phone (732) 235-7894

Organizations & group practices 5

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 1

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": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1962992008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 PATERSON STREET",
            "address_2": "DEPARTMENT OF INTERNAL MEDICINE SUITE 5100",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089013220",
            "telephone_number": "732-235-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 PATERSON STREET",
            "address_2": "DEPARTMENT OF INTERNAL MEDICINE SUITE 5100",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089013220",
            "telephone_number": "732-235-6968"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 York St",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065103220",
            "country_code": "US",
            "telephone_number": "203-688-4242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEFILIPPO",
        "first_name": "EUNICE",
        "middle_name": "MODUPE MARTINS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-15",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA11565000",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA11565000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EUNICE",
            "last_name": "MARTINS",
            "middle_name": "MODUPE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.