Active NPI
Sandeepa Makarand Utpat, MD
- Internal Medicine Physician
- Lakewood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 233554
- Practice address
- 101 Prospect St
Suite 115
Lakewood, NJ 08701-5020 - Phone
- (732) 905-6635
- Fax
- (732) 905-6643
- NPI assigned
- Jun 30, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 233554 | NY | Primary |
Addresses
Primary practice location
101 Prospect St
Suite 115
Lakewood, NJ 08701-5020
Mailing address
101 Prospect St
Suite 115
Lakewood, NJ 08701-5020
Phone (732) 905-6635
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02623687 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9 Hospital Dr
Suite B4
Toms River, NJ 08755-6425
Phone (732) 905-6635
Hospital & facility affiliations
- Community Medical Center
- Robert Wood Johnson University Hospital
- Jersey Shore University Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.22 of 100
- Quality
- 59.41
- Improvement activities
- 40
- Cost
- 68.86
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 233554 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infectious Diseases Professionals LLC | Current | Accepting new patients | |
| Cardiology Associates of Ocean County | Past | Accepting new patients | |
| Nymhc FPP Nephrology | Past | Accepting new patients |
Locations
101 Prospect St
Ste 115
Lakewood, NJ 08701
Phone (732) 364-1014
9 Hospital Dr
Ste B4
Toms River, NJ 08755
Phone (732) 766-3357
9 Hospital Dr
Ste B8
Toms River, NJ 08755
Phone (732) 349-8899
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Infectious Disease Physician
- Lakewood, NJ
- NPI 1851324875
-
- Cardiovascular Disease Physician
- Brick, NJ
- NPI 1093865677
-
- Nephrology Physician
- New York, NY
- NPI 1306878657
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Toms River, NJ
- NPI 1013010917
-
dba HMH Behavioral Health Home
- Clinic/Center
- Neptune, NJ
- NPI 1053880286
Hospital
-
dba Jersey Shore University Medical Center
- General Acute Care Hospital
- Neptune, NJ
- NPI 1790297547
-
dba Hackensack Meridian Diagnostic Laboratory
- Clinical Medical Laboratory
- Neptune City, NJ
- NPI 1962128496
Hospital
-
- General Acute Care Hospital
- New Brunswick, NJ
- NPI 1346243375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205864899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 PROSPECT ST",
"address_2": "SUITE 115",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087015020",
"telephone_number": "732-905-6635",
"fax_number": "732-905-6643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 PROSPECT ST",
"address_2": "SUITE 115",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087015020",
"telephone_number": "732-905-6635",
"fax_number": "732-905-6643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UTPAT",
"first_name": "SANDEEPA",
"middle_name": "MAKARAND",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "233554",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02623687",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.