Active NPI
Mohi Upmanyu I
- Nursing Home Administrator
- West Orange, NJ
National Provider Identifier
1396517744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Home Administrator
- Practice address
- 1500 Pleasant Valley Way Ste 305
West Orange, NJ 07052-2956 - Phone
- (929) 708-7483
- NPI assigned
- Oct 27, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nursing Home Administrator | 376G00000X | Primary |
Addresses
Primary practice location
1500 Pleasant Valley Way Ste 305
West Orange, NJ 07052-2956
Mailing address
88 Regent St Apt 3106
Jersey City, NJ 07302-7632
Phone (929) 708-7483
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698364800000",
"number": "1396517744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 REGENT ST APT 3106",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073027632",
"telephone_number": "929-708-7483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 PLEASANT VALLEY WAY STE 305",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070522956",
"telephone_number": "929-708-7483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UPMANYU",
"first_name": "MOHI",
"name_suffix": "I",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-27",
"last_updated": "2023-10-27",
"certification_date": "2023-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "376G00000X",
"taxonomy_group": "",
"desc": "Nursing Home Administrator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.