Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MAX MATHEW PUTHENPURA MD
NPI 1659959252
Student in an Organized Health Care Education/Training Program in New Brunswick, NJ

Active since April 02, 2021PECOS Enrolled
1 ROBERT WOOD JOHNSON PL, NEW BRUNSWICK, NJ 08901(732) 235-7664 Get Directions Write a Review

NPPES record last updated: October 21, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 9, 2021, Apr 2, 2021 (2 updates tracked since 2021).

About Max Mathew Puthenpura Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAX MATHEW PUTHENPURA MD (NPI 1659959252) is an individual student in an organized health care education/training program in New Brunswick, New Jersey and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659959252
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMAX MATHEW PUTHENPURACredential: MD
Location Address1 ROBERT WOOD JOHNSON PLNew Brunswick, NJ 08901-1928
Mailing Address125 Paterson Street, Meb 486New Brunswick, NJ 08901
Sole ProprietorYes
Enumeration DateApril 2, 2021
Last NPPES UpdateOctober 21, 20262 updates tracked since enumeration
NPPES CertifiedOctober 21, 2026
✔ NPI 1659959252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA13187800 (NJ)
1 ROBERT WOOD JOHNSON PL, New Brunswick, NJ 08901

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Max Mathew Puthenpura Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK, NJ 08901
Pathology (Anatomic Pathology)
1 ROBERT WOOD JOHNSON PL, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL NEW BRUNSWICK
NEW BRUNSWICK, NJ 08901
Pediatrics (Pediatric Critical Care Medicine)
1 ROBERT WOOD JOHNSON PL, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - NEW BRUNSWICK
NEW BRUNSWICK, NJ 08901
Pediatrics (Pediatric Critical Care Medicine)
1 ROBERT WOOD JOHNSON PL, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - NEW BRUNSWICK
NEW BRUNSWICK, NJ 08901
Anesthesiology
1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK, NJ 08901
Internal Medicine
1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK, NJ 08901
Nurse Practitioner (Acute Care)
1 ROBERT WOOD JOHNSON PL, 2 CORE - RM. 257
NEW BRUNSWICK, NJ 08901
Emergency Medicine
1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK, NJ 08901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Max Puthenpura's NPI number?

The NPI number for Max Puthenpura is 1659959252. It was assigned to this individual provider in the NPPES registry on April 2, 2021.

Where is Max Puthenpura located?

Max Puthenpura practices at 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901. The listed phone number is (732) 235-7664.

What is Max Puthenpura's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Max Puthenpura enrolled in Medicare?

Yes. Max Puthenpura is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Max Puthenpura was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.