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

Individual provider Internal Medicine Physician · NPI 1053512269

Jyothi Jagadeesh, MD is an Internal Medicine in Mount Holly, New Jersey. Qualified in 1994, 32 years ago. Practices with Practice Associates Medical Group, a 1,403-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
32
Licensed in
NJ
In the registry since
2007
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

175 Madison Ave
Mount Holly, NJ 08060-2038
Phone: (609) 914-6180
Fax: (609) 914-6182
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 25MA08430600 (NJ)
Internal Medicine Physician Taxonomy 207R00000X · Licence 390200000X (NJ)

Record details

NPI number1053512269
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 29, 2007
Last updated in NPPESSeptember 9, 2010
Mailing address401 Route 73 N, 40 Lake Center Drive Ste 201a, Marlton, NJ 08053-3425

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesGERIATRIC MEDICINE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Practice Associates Medical Group — 1403 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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