DR. SIVA TEJA JETTY (NPI# 1073977278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073977278 |
| Entity Type | Individual |
| Full Name | DR. SIVA TEJA JETTY |
| Credential | M.D |
| Practice Address |
355 Grand St Jersey City NJ 07302-4321 |
| Practice Telephone | 2019152431 |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2020-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 25MA10464800 | NJ | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 25MA10464800 | NJ | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 218 Sunset Rd, Willingboro, NJ 080461110 | 6098353672 | 6098355433 |
| 175 Madison Ave, Mount Holly, NJ 080602099 | 6099146000 | 6099146182 |
| 90 Brick Rd Fl 3, Marlton, NJ 080532177 | 8563556000 | 8563556731 |
| 1600 Haddon Ave Fl 6, Camden, NJ 081033101 | 8567573500 | 8563654088 |
| 100 Bowman Dr Lowr Level1, Voorhees, NJ 080439612 | 8562473000 | 8562472597 |
| Street Address |
355 GRAND ST |
| City | JERSEY CITY |
| State | NJ |
| Zip Code | 07302-4321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639175367 | Suhail N Alsheikh | Pediatrics | 355 Grand St, Jersey City, NJ 07302-4321 | 2005-06-27 |
| 1710588827 | Marlyn Alvarado | Nurse Practitioner | 355 Grand St, Jersey City, NJ 07302-4321 | 2020-11-04 |
| 1801403027 | Maikel Herrera Ynfiesta | Nurse Practitioner | 355 Grand St, Jersey City, NJ 07302-4321 | 2020-09-30 |
| 1740893619 | Michelle Mei | Pharmacist | 355 Grand St, Jersey City, NJ 07302-4321 | 2020-08-28 |
| 1992316707 | Keisha Alix Hampden | Registered Nurse | 355 Grand St, Jersey City, NJ 07302-4321 | 2020-08-14 |
| 1396356457 | Ria Charisma Samson Abadinas | Registered Nurse | 355 Grand St, Jersey City, NJ 07302-4321 | 2020-08-12 |
| 1457979288 | Jenny Xiao | Advanced Practice Midwife | 355 Grand St, Jersey City, NJ 07302-4321 | 2020-07-08 |
| 1073138541 | Lynne Panzica | Registered Nurse | 355 Grand St, Jersey City, NJ 07302-4321 | 2020-06-10 |
| 1396367231 | Stephanie Salinas | Nurse Practitioner | 355 Grand St, Jersey City, NJ 07302-4321 | 2020-05-14 |
| 1295357309 | Jonathan Gabriel | Student in an Organized Health Care Education/Training Program | 355 Grand St, Jersey City, NJ 07302-4321 | 2020-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518573641 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 396-420 Luis Munoz Marin Blvd., Jersey City, NJ 07302 | 2020-09-23 |
| 1679192728 | Alejo Terrence Degawan Tabur | Student in an Organized Health Care Education/Training Program | Jersey City Medical Center, 355 Grand Street, Jersey City, NJ 07302 | 2020-04-09 |
| 1982263224 | Yasir Rafique Rajwana | Student in an Organized Health Care Education/Training Program | Jersey City Medical Center, 355 - Grand Street, Jersey City, NJ 07302 | 2019-06-11 |
| 1821653866 | Flear Vaknin | Student in an Organized Health Care Education/Training Program | Jersey City Medical Center - Obgyn, 355 Grand Street, Jersey City, NJ 07302 | 2019-05-06 |
| 1497218044 | Wolf Performance Consulting LLC | Clinic/Center | 150 Bay Street 2nd Floor - Commercial Entrance, Located Inside of 150 Bay Crossfit, Jersey City, NJ 07302 | 2019-04-10 |
| 1841769734 | Jazmin Maria Del Salto | Psychologist | 395 Grand St., Jersey City, NJ 07302 | 2018-11-20 |
| 1376024075 | Rwj Barnabashealth - Jersey City Medical Center | Psychiatric Unit | 1805 Jfk Blvd, Jersey City, NJ 07302 | 2018-08-22 |
| 1134615123 | Judith Roman | Dentist | 349 2nd St Ste B2, Jersey City, NJ 07302 | 2018-07-03 |
| 1144724873 | Banan Mohammad | Chiropractor | 190 Christopher Columbus Dr # 5c, Jersey City, NJ 07302 | 2018-03-19 |
| 1477062347 | Kingsley Ogigi Oyem | Nurse Practitioner | Rwjbarnabas Health, Jersey City Medical Center, 355 Grand Street, Jersey City, NJ 07302 | 2017-09-23 |
| Find all providers in zip 07302 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871960013 | Salman Mamji | Hospitalist | 355 Grand St, Jersey City, NJ 07302-4321 | 2015-08-24 |
| 1376910612 | Sopan Lahewala | Hospitalist | 355 Grand St, Jersey City, NJ 07302-4321 | 2015-08-21 |
| 1881060283 | Edward Mulligan | Hospitalist | 355 Grand St, Jersey City, NJ 07302-4321 | 2015-08-19 |
| 1386897148 | Jersey City Medical Center | Hospitalist | 355 Grand St, Jersey City, NJ 07302-4321 | 2008-10-24 |
| 1639325657 | Shanker Mani Ghimire | Hospitalist | 355 Grand St, Jersey City, NJ 07302-4321 | 2008-08-10 |
| 1356516082 | Mohammad Tehranirad | Hospitalist | 1 River Ct, Apt # 406, Jersey City, NJ 07310-2001 | 2008-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639719107 | Heidi Morinvil | Hospitalist | 100 Bowman Dr Lowr Level, Voorhees, NJ 08043-9612 | 2020-01-13 |
| 1679004261 | Samir Nirola | Hospitalist | 2225 Evesham Road, Suite 101, Virtua Graduate Medical Education, Voorhees, NJ 08043-1557 | 2017-03-24 |
| 1568993632 | Qamar Khan | Hospitalist | 415-425 Jack Martin Blvd, Brick Township, NJ 08724 | 2017-03-21 |
| 1437520889 | Hunterdon Specialty Care, PC | Hospitalist | 3 Minneakoning Rd, Flemington, NJ 08822-5726 | 2015-10-12 |
| 1053799643 | Pooja Pulijaal | Hospitalist | 1 Robert Wood Johnson Pl # Place256, New Brunswick, NJ 08901-1928 | 2015-05-14 |
| 1548689763 | Mansi Ramesh Shah | Hospitalist | 125 Paterson St Ste 5200, New Brunswick, NJ 08901 | 2014-04-15 |
| 1629496880 | Ryan M Monti | Hospitalist | 1 Bay Avenue Montclair, Montclair, NJ 07042 | 2014-04-03 |
| 1467873729 | Pascack Physician Services | Hospitalist | 300 Old Hook Rd, Westwood, NJ 07675-3122 | 2014-01-03 |
| 1063754034 | Barbara Onyia | Hospitalist | 13 Petunia Dr, North Brunswick, NJ 08902-3738 | 2013-03-18 |
| 1639430754 | Shah Medical Associates, LLC | Hospitalist | 1330 Route 206, Suite 130-330, Skillman, NJ 08558-1921 | 2012-06-05 |
| Find all providers with the same taxonomy | ||||
| City | JERSEY CITY |
| Zip Code | 07302 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.