Individual
MRS. JYOTI S MATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
377 JERSEY AVE, STE 470, JERSEY CITY, NJ 07302-4393
(201) 918-2239
(201) 918-2243
Mailing address
377 JERSEY AVE, STE 470, JERSEY CITY, NJ 07302-4393
(201) 918-2239
(201) 918-2243
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA06579600
NJ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
25MA06579600
NJ
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
25MA06579600
NJ
207RP1001X
Pulmonary Disease Physician
Primary
25MA06579600
NJ
207RS0012X
Sleep Medicine (Internal Medicine) Physician
25MA06579600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8040702
—
NJ
Enumeration date
04/25/2006
Last updated
05/02/2024
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