Active NPI
Shivanck Upadhyay, MBBS, MD
- Pulmonary Disease Physician
- Paterson, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 25MA10446900
- Practice address
- 703 Main St
Paterson, NJ 07503-2621 - Phone
- (973) 754-2000
- Fax
- (973) 754-3376
- NPI assigned
- Feb 2, 2012
- Last updated
- Apr 27, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA10446900 | NJ | |
| Pulmonary Disease Physician | 207RP1001X | 0101284367 | VA | |
| Pulmonary Disease Physician | 207RP1001X | 84972 | WI | |
| Pulmonary Disease Physician | 207RP1001X | 25MA10446900 | NJ | Primary |
| Internal Medicine Physician | 207R00000X | 84972 | WI | |
| Pulmonary Disease Physician | 207RP1001X | 61005 | KY | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 25MA10446900 | NJ |
Addresses
Primary practice location
703 Main St
Paterson, NJ 07503-2621
Mailing address
703 Main St
Medicine Department
Paterson, NJ 07503-2621
Other practice location 1
130 2nd St
Neenah, WI 54956-2883
Phone (920) 731-4101
Other practice location 2
1818 N Meade St
Appleton, WI 54911-3454
Phone (920) 731-4101
Other practice location 3
1 Medical Village Drive
Edgewood, KY 41017-3403
Phone (859) 757-2927
Other practice location 4
618 Hospital Rd
Tappahannock, VA 22560-5000
Phone (804) 828-4635
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ, WI, VA, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1414 N Taylor Dr
Sheboygan, WI 53081-1988
Phone (920) 320-2436
2300 Western Ave
Manitowoc, WI 54220-3712
Phone (920) 320-2011
703 Main St
Paterson, NJ 07503-2621
Phone (973) 754-6331
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA10446900 | NJ | MD | Internal Medicine Physician |
| 61005 | KY | MD | Pulmonary Disease Physician |
| 0101284367 | VA | MD | Pulmonary Disease Physician |
| 84972 | WI | MD | Pulmonary Disease Physician |
Practice roles
Locations (25 of 33)
29980 Network Pl
Chicago, IL 60673
124 SW Adams St
Fl 2
Peoria, IL 61602
Phone (309) 655-2850
1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000
300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217
703 Main St
Paterson, NJ 07503
Phone (973) 754-2240
703 Main St
#G
Paterson, NJ 07503
Phone (973) 754-6331
703 Main St
Bldg 400
Paterson, NJ 07503
Phone (973) 754-2054
703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240
220 Hamburg Tpke
Ste 203
Wayne, NJ 07470
70 Dubois St
Fl 2
Newburgh, NY 12550
Phone (845) 561-4400
160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000
401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409
618 Hospital Rd
Tappahannock, VA 22560
Phone (804) 443-3311
1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101
4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800
225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313
400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318
201 Hospital Rd
Eagle River, WI 54521
Phone (715) 477-3000
W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060
2300 Western Ave
Manitowoc, WI 54220
Phone (920) 320-2011
N74W12501 Leatherwood Ct
Menomonee Falls, WI 53051
Phone (414) 454-4744
601 S Center Ave
Merrill, WI 54452
Phone (715) 536-5511
130 2nd St
Neenah, WI 54956
Phone (920) 729-2063
600 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 237-5000
2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-3000
Interoperability endpoints
- supadhyay668832@direct.saint-lukes.org
- supadhyay854644@direct.froedtert.com
Organizations & group practices 25
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.
-
- Internal Medicine Physician
- Paterson, NJ
- NPI 1205425519
-
dba Froedtert Northeast Medical Group
- Multi-Specialty Clinic/Center
- Manitowoc, WI
- NPI 1437829975
Internal Medicine
-
- Internal Medicine Physician
- Paterson, NJ
- NPI 1497791297
-
dba Aspirus Eagle River Hospital
- Critical Access Hospital
- Eagle River, WI
- NPI 1346204385
-
dba Aspirus Merrill Hospital
- Critical Access Hospital
- Merrill, WI
- NPI 1124084678
-
dba Aspirus Stevens Point Clinic - Illinois Avenue
- Clinic/Center
- Stevens Point, WI
- NPI 1144991340
-
dba Aspirus Stanley Hospital
- Critical Access Hospital
- Stanley, WI
- NPI 1053391730
-
- General Acute Care Hospital
- Stevens Point, WI
- NPI 1538112230
-
- Critical Care Medicine (Internal Medicine) Physician
- Newburgh, NY
- NPI 1316293954
-
- Internal Medicine Physician
- Menomonee Falls, WI
- NPI 1568787448
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Paterson, NJ
- NPI 1669462420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777248000000",
"number": "1376815647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "703 MAIN ST",
"address_2": "MEDICINE DEPARTMENT",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075032621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 MAIN ST",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075032621",
"telephone_number": "973-754-2000",
"fax_number": "973-754-3376"
}
],
"practiceLocations": [
{
"address_1": "130 2nd St",
"address_purpose": "LOCATION",
"city": "Neenah",
"state": "WI",
"postal_code": "549562883",
"country_code": "US",
"telephone_number": "920-731-4101",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1818 N Meade St",
"address_purpose": "LOCATION",
"city": "Appleton",
"state": "WI",
"postal_code": "549113454",
"country_code": "US",
"telephone_number": "920-731-4101",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Medical Village Drive",
"address_purpose": "LOCATION",
"city": "Edgewood",
"state": "KY",
"postal_code": "410173403",
"country_code": "US",
"telephone_number": "859-757-2927",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "618 Hospital Rd",
"address_purpose": "LOCATION",
"city": "Tappahannock",
"state": "VA",
"postal_code": "225605000",
"country_code": "US",
"telephone_number": "804-828-4635",
"fax_number": "804-443-6150",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UPADHYAY",
"first_name": "SHIVANCK",
"name_prefix": "Dr.",
"credential": "MBBS, MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-02",
"last_updated": "2026-04-27",
"certification_date": "2026-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA10446900",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "VA",
"license": "0101284367",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "WI",
"license": "84972",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NJ",
"license": "25MA10446900",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "84972",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "KY",
"license": "61005",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NJ",
"license": "25MA10446900",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paterson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; 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.