Ushtavaity Davar Canteenwalla, MS, CGC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

License

25MJ00022300 Issued in NJ

Practice address

298 Forest Ave
Glen Ridge, NJ 07028-1808

Phone

(908) 509-7731

NPI assigned

Feb 28, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1205633997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 FOREST AVE",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070281808",
            "telephone_number": "646-957-5879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 FOREST AVE",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070281808",
            "telephone_number": "908-509-7731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTEENWALLA",
        "first_name": "USHTAVAITY",
        "middle_name": "DAVAR",
        "credential": "MS, CGC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "NJ",
            "license": "25MJ00022300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Whitmore Bloomfield
• Peter Charles Boorjian, M.D.,F.A.C.S.
• Gillian Boyd-Woschinko, MD
• Karen Calhoun
• Elizabeth Candela, MA, RDN, ACSM EP(C)
• Cardiac, Thoracic and Vascular Surgical Associate, P.a.
• Caroline Szpalski MD P.C.
• Hanna Yoo Carrasco, DO
• Jemima M Celestin, NP
• Mark D Chase, MD

• Genetic Counselor (M.S.) in Glen Ridge, NJ
• Providers in Glen Ridge, NJ by specialty
• Genetic Counselor (M.S.) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.