Organization Active NPI

Mayuri Medical Center Limited Liability Company

  • Primary Care Clinic/Center
  • Hillsborough, NJ
National Provider Identifier
1215117346
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
25MA07629200 Issued in NJ
Legal business name
MAYURI MEDICAL CENTER LIMITED LIABILITY COMPANY
Practice address
603A Omni Dr
Hillsborough, NJ 08844-4538
Phone
(908) 431-0003
Fax
(908) 431-0009
NPI assigned
Nov 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Authorized official

Name
Dr. Mahalakshmi Seshadri, MDNPI 1861419830
Title
Medical Director
Phone
(908) 431-0003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 25MA07629200 NJ Primary

Addresses

Primary practice location

603A Omni Dr
Hillsborough, NJ 08844-4538

Mailing address

603A Omni Dr
Hillsborough, NJ 08844-4538
Phone (908) 431-0003

Other identifiers 1

IdentifierTypeStateIssuer
0109495MedicaidNJ

National Provider Directory

National Provider Directory

Locations

603A Omni Dr
Hillsborough, NJ 08844
Phone (908) 431-0003

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1215117346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603A OMNI DR",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444538",
            "telephone_number": "908-431-0003",
            "fax_number": "908-431-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603A OMNI DR",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444538",
            "telephone_number": "908-431-0003",
            "fax_number": "908-431-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYURI MEDICAL CENTER LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "SESHADRI",
        "authorized_official_first_name": "MAHALAKSHMI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "908-431-0003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "25MA07629200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0109495",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.