Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jaya Reddy Kothapally, MD

Individual provider Endocrinology, Diabetes & Metabolism Physician · NPI 1790894954

Jaya Reddy Kothapally, MD is an Endocrinology in Willingboro, New Jersey. Qualified in 2003, 23 years ago. Practices with Cmc Department of Medicine Group PA, a 474-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri and New Jersey.

Years since qualifying
23
Licensed in
MO, NJ
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

218 C Sunset Rd
Willingboro, NJ 08046
Phone: (609) 877-0400
Fax: (609) 877-3542
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endocrinology, Diabetes & Metabolism Physician (primary) Taxonomy 207RE0101X · Licence 25MA08944000 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 2006012190 (MO)

Record details

NPI number1790894954
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 30, 2006
Last updated in NPPESJune 11, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyENDOCRINOLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Cmc Department Of Medicine Group Pa — 474 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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