MRS. JYOTI S MATTA (MD) – Pulmonary Disease Physician, NPI 1104882588

MRS. JYOTI S MATTA (MD) is a healthcare provider. based in Jersey city, New Jersey. specializing in PULMONARY DISEASE, CRITICAL CARE (INTENSIVISTS). They hold the professional credentials MD. They hold a License No. 25MA06579600 (NJ). The NPI Number for MRS. JYOTI S MATTA (MD) is 1104882588

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JYOTI S MATTA (MD)
NPI
1104882588
Phone
(201) 918-2239
Address
377 JERSEY AVE
Enumeration Date
25 April 2006
Last Update Date
2 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2019152000
Graduation Year
1992 (34 years ago)
PAC ID
1052495603
Group Practice PAC ID
5193137503
Professional Enrollment ID
I20080328000062
Address ID
NJ073024321JE355XXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:20State licenses:1Digital endpointsOther names

632 PULMONARY DISEASE in NJ

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Provider Addresses for MRS. JYOTI S MATTA (MD)

  • Jersey City, Hudson County, New Jersey, United States

    STE 470

    JERSEY CITY, NJ 073024393

    Phone: (201) 918-2239

    Fax: (201) 918-2243

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $1,616.

Total Amount is formed as General ($1,616) + Research ($0) + Ownership ($0) = $1,616.

Last reported payment date: 2024-09-25 • Largest payer in this snapshot: FUJIFILM SonoSite, Inc. ($700).

Total Amount

$1,616

General + Research + Ownership

Payments

12

Total payment records

General Amount

$1,616

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-03-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080328000062IPulmonary DiseaseNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes8974$0
99213Established patient office or other outpatient visit, 20-29 minutes6147$0
99291Critical care, first 30-74 minutes5631$0
99443Telephone medical discussion with physician, 21-30 minutes4232$0
94729Test to examine how well the lungs exchange gases2221$0
View full utilization report →

Insurance plans in this area (ZIP 07302)

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Provider's Procedures

MRS. JYOTI S MATTA (MD) performs procedures in PULMONARY DISEASE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PULMONARY DISEASENJ94060Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration8786

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193137503View full group profile
NameSpecialtyState
Diagnostic RadiologyNJ
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)NY
Diagnostic RadiologyMA
Certified Registered Nurse Anesthetist (Crna)CA
A N E S T H E S I O L O G YNY
Nurse PractitionerNJ
Diagnostic RadiologyNJ
Internal Medicine, Pulmonary DiseaseNJ
Physician AssistantNJ

Reviews

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Frequently asked questions

Can I cross-check MRS. JYOTI S MATTA (MD) using NPI 1104882588?
NPI 1104882588 belongs to MRS. JYOTI S MATTA (MD); compare other details if you need extra assurance.
Would MRS. JYOTI S MATTA (MD) appear as active to a payer?
You can treat MRS. JYOTI S MATTA (MD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe MRS. JYOTI S MATTA (MD)'s focus?
For MRS. JYOTI S MATTA (MD), the primary taxonomy reads as Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
Is MRS. JYOTI S MATTA (MD) associated with Jersey City?
Public fields place MRS. JYOTI S MATTA (MD) around Jersey City, New Jersey. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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