Jyoti Matta MD LLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

MA65796 Issued in NJ

Legal business name

JYOTI MATTA MD LLC

Practice address

377 Jersey Ave
Suite 470
Jersey City, NJ 07302-4393

Phone

(201) 918-2239

Fax

(201) 918-2243

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Jyoti Matta, M.D.

Title

Physician

Phone

(201) 918-2239

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1972720068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1966",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070397566",
            "telephone_number": "201-918-2239",
            "fax_number": "201-918-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 JERSEY AVE",
            "address_2": "SUITE 470",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073024393",
            "telephone_number": "201-918-2239",
            "fax_number": "201-918-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JYOTI MATTA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "MATTA",
        "authorized_official_first_name": "JYOTI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "201-918-2239",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "MA65796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.