Active NPIIndividual providerSole proprietor

Dr. Jolly M Kuruvilla

Family Medicine, Adult Medicine in West Orange, New Jersey

NPI Number1487267480
Practice location
375 Mount Pleasant Ave, West Orange, NJ 07052-2750
Fax
—
Last updated
August 28, 2020

Jolly M Kuruvilla is a Family Medicine, Adult Medicine based in West Orange, NJ. Jolly M Kuruvilla practices in West Orange, NJ. The NPI Number for Jolly M Kuruvilla is 1487267480 and holds a License No. 26NJ01048600 (NJ). The current practice location address for Jolly M Kuruvilla is 375 Mount Pleasant Ave, West Orange, NJ 07052-2750 and can be reached out via phone at 973-668-1577.

Provider Profile Details

NPI Number
1487267480
Provider Name
Jolly M Kuruvilla
Provider Entity Type
Individual
Gender
Female
Address
375 Mount Pleasant Ave, West Orange, NJ 07052-2750
Phone Number
973-668-1577
Primary Taxonomy
Family Medicine, Adult Medicine · 207QA0505X
Sole Proprietor
Yes
Provider Enumeration Date
August 28, 2020
Last Update Date
August 28, 2020
Certification Date
August 28, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
375 Mount Pleasant Ave
West Orange, NJ 07052-2750
Zip
07052-2750
Phone Number
973-668-1577
West Orange, NJ 07052Get directions →

Provider Business Mailing Address Details

Address
94 Old Short Hills RD Ste 1
Livingston, NJ 07039-5668
City
Livingston
State
NJ
Zip
07039-5668
Phone Number
973-322-8010

License Information

License Number
26NJ01048600
License State
NJ
Taxonomy
Family Medicine, Adult Medicine · 207QA0505X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jolly M Kuruvilla?

The NPI number of Dr. Jolly M Kuruvilla is 1487267480. It was assigned on August 28, 2020 and is currently active in the NPPES registry.

What is the specialty of Dr. Jolly M Kuruvilla?

Dr. Jolly M Kuruvilla is registered under the primary taxonomy Family Medicine, Adult Medicine (code 207QA0505X), licensed in NJ under license number 26NJ01048600.

Where does Dr. Jolly M Kuruvilla practice?

The practice location is 375 Mount Pleasant Ave, West Orange, NJ 07052-2750. The office can be reached at 973-668-1577 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487267480 directly on the NPPES registry website.

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