Individual provider Active NPI

Neil P Udani, M.D.

  • Hospitalist Physician
  • Dover, NJ
National Provider Identifier
1003835232
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
25MA08240400 Issued in NJ
Practice address
400 W Blackwell St
Dover, NJ 07801-2525
Phone
(973) 989-3085
Fax
(973) 989-3106
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 055310 GA
Hospitalist Physician 208M00000X 25MA08240400 NJ Primary

Addresses

Primary practice location

400 W Blackwell St
Dover, NJ 07801-2525

Mailing address

PO Box 37
Denville, NJ 07834-0037
Phone (973) 989-3085

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081022000516 NJ Practitioner - Internal Medicine 1355310160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Internal Medicine of Morris County LLCGroup PAC ID 2466428388, 77 clinicians

Practice addresses (Care Compare)

25 Pocono Rd
Denville, NJ 07834-2954
Phone (973) 927-5788

400 W Blackwell St
Dover, NJ 07801-2525
Phone (973) 927-5788

Hospital & facility affiliations

  • Saint Clare'S Hospital/ Denville Campus Hospital, Denville, NJ, CCN 310050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine of Morris County LLC Internal Medicine CurrentSince Mar 1, 2023 Accepting new patients
Vital Medical Forces of Dover PC Internal Medicine Past Accepting new patients
Prime Healthcare Services - Saint Clare'S LLC Past Accepting new patients

Locations

25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000

400 W Blackwell St
Dover, NJ 07801
Phone (973) 537-3818

195 US Highway 46
Ste 102
Mine Hill, NJ 07803
Phone (973) 983-5561

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331596800000",
    "number": "1003835232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078340037",
            "telephone_number": "973-989-3085",
            "fax_number": "973-989-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W BLACKWELL ST",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "078012525",
            "telephone_number": "973-989-3085",
            "fax_number": "973-989-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDANI",
        "first_name": "NEIL",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2012-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "055310",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NJ",
            "license": "25MA08240400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NJ

Sources for this page

Verify at the official NPI Registry.