Individual provider Active NPI

Dharmishtha Jayesh Kanuga

  • Hematology (Pathology) Physician
  • Holmdel, NJ
National Provider Identifier
1982858361
Registry record updated Nov 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology (Pathology) PhysicianTaxonomy code 207ZH0000X
License
25MA03661700 Issued in NJ
Practice address
6 Thistle LN
Holmdel, NJ 07733-1200
Phone
(732) 275-9001
NPI assigned
Nov 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Pathology) Physician 207ZH0000X 25MA03661700 NJ Primary

Addresses

Primary practice location

6 Thistle LN
Holmdel, NJ 07733-1200

Mailing address

6 Thistle LN
Holmdel, NJ 07733-1200
Phone (732) 275-9001

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

NPI Registry JSON

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226361600000",
    "number": "1982858361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 THISTLE LN",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331200",
            "telephone_number": "732-275-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 THISTLE LN",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331200",
            "telephone_number": "732-275-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANUGA",
        "first_name": "DHARMISHTHA",
        "middle_name": "JAYESH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-11",
        "last_updated": "2008-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "NJ",
            "license": "25MA03661700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holmdel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; 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.