DR. JOOLY P KOSHY APN
NPI 1720621345
Nurse Practitioner - Family in Newark, NJ

Active since October 26, 2019PECOS EnrolledAccepts Medicare Assignment
150 BERGEN STREET, NEWARK, NJ 07103(972) 972-4300 Get Directions Write a Review

NPPES record last updated: December 27, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 27, 2019, Oct 26, 2019 (2 updates tracked since 2019).

About Dr. Jooly P Koshy Apn NPPES

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

DR. JOOLY P KOSHY APN (NPI 1720621345) is an individual family provider in Newark, New Jersey, licensed in New Jersey (26NJ01002000) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with The University Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1720621345
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. JOOLY P KOSHYCredential: APN
Location Address150 BERGEN STREETNewark, NJ 07103
Mailing Address11 Taurus CtEdison, NJ 08820-1711 · (732) 644-4858
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 26, 2019
Last NPPES UpdateDecember 27, 20192 updates tracked since enumeration
NPI 1720621345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NJ · 26NJ01002000
150 BERGEN STREET, Newark, NJ 07103

Other Names 1

Former Name (1)Mrs. Jooly P Mathew Jooly P Mathew

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Jooly P Koshy Apn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507396488
PECOS Enrollment IDI20250206003020
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The University Hospital

Acute Care Hospitals · Newark, NJ
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number310119
Location150 Bergen StNewark, NJ 07103 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

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

Pathology (Anatomic Pathology & Clinical Pathology)
150 BERGEN STREET
NEWARK, NJ 07103
Student in an Organized Health Care Education/Training Program
150 BERGEN STREET, UH I-248
NEWARK, NJ 07103
Internal Medicine (Gastroenterology)
150 BERGEN STREET, UH I-248
NEWARK, NJ 07103
Student in an Organized Health Care Education/Training Program
150 BERGEN STREET, UH I-248
NEWARK, NJ 07103
Emergency Medicine
150 BERGEN STREET, UNIVERSITY HOSPITAL DEPARTMENT OF EMERGENCY MEDICINE
NEWARK, NJ 07103
Emergency Medicine
150 BERGEN STREET, EMERGENCY DEPARTMENT
NEWARK, NJ 07103
Physician Assistant (Surgical)
150 BERGEN STREET, DEPARTMENT OF RADIOLOGY C-320
NEWARK, NJ 07103
Student in an Organized Health Care Education/Training Program
150 BERGEN STREET, UH I-248
NEWARK, NJ 07103

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 Jooly Koshy's NPI number?

The NPI number for Jooly Koshy is 1720621345. It was assigned to this individual provider in the NPPES registry on October 26, 2019. The provider is also known as Mrs. Jooly P Mathew Jooly P Mathew.

Where is Jooly Koshy located?

Jooly Koshy practices at 150 Bergen Street, Newark, NJ 07103. The listed phone number is (972) 972-4300.

What is Jooly Koshy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jooly Koshy enrolled in Medicare?

Yes. Jooly Koshy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jooly Koshy affiliated with any hospitals?

According to CMS data, Jooly Koshy is affiliated with The University Hospital.

When was this NPI record last updated?

The NPPES record for Jooly Koshy was last updated on December 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.