Active NPIIndividual provider

Jaya R Kothapally, MD

Internal Medicine, Endocrinology, Diabetes & Metabolism in Willingboro, New Jersey

NPI Number1790894954
Practice location
218 C. Sunset Road, Willingboro, NJ 08046
Fax
609-877-3542
Last updated
June 11, 2014

Jaya Reddy Kothapally is an Internal Medicine, Endocrinology, Diabetes & Metabolism based in Willingboro, NJ. Jaya Reddy Kothapally practices in Willingboro, NJ and has the professional credentials of MD. The NPI Number for Jaya Reddy Kothapally is 1790894954 and holds a License No. 25MA08944000 (NJ). The current practice location address for Jaya Reddy Kothapally is 218 C. Sunset Road, Willingboro, NJ 08046 and can be reached out via phone at 609-877-0400 and via fax at 609-877-3542.

Provider Profile Details

NPI Number
1790894954
Provider Name
Jaya Reddy Kothapally
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
218 C. Sunset Road, Willingboro, NJ 08046
Phone Number
609-877-0400
Fax Number
609-877-3542
Sole Proprietor
No
Provider Enumeration Date
August 30, 2006
Last Update Date
June 11, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
218 C. Sunset Road
Willingboro, NJ 08046
Zip
08046
Phone Number
609-877-0400
Fax Number
609-877-3542
Willingboro, NJ 08046Get directions →

Provider Business Mailing Address Details

Address
218 C. Sunset Road
Willingboro, NJ 08046
City
Willingboro
State
NJ
Zip
08046
Phone Number
609-877-0400
Fax Number
609-877-3542

License Information

License Number (1)
25MA08944000
License State (1)
NJ
Taxonomy (1)
Internal Medicine, Endocrinology, Diabetes & Metabolism · 207RE0101X · Primary
License Number (2)
2006012190
License State (2)
MO

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 Jaya R Kothapally, MD?

The NPI number of Jaya R Kothapally, MD is 1790894954. It was assigned on August 30, 2006 and is currently active in the NPPES registry.

What is the specialty of Jaya R Kothapally, MD?

Jaya R Kothapally, MD is registered under the primary taxonomy Internal Medicine, Endocrinology, Diabetes & Metabolism (code 207RE0101X), licensed in NJ under license number 25MA08944000.

Where does Jaya R Kothapally, MD practice?

The practice location is 218 C. Sunset Road, Willingboro, NJ 08046. The office can be reached at 609-877-0400 (phone) or 609-877-3542 (fax).

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 1790894954 directly on the NPPES registry website.

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