Active NPI
Ujwala S Mulgaonkar, M.D.
- Pediatrics Physician
- Livingston, NJ
National Provider Identifier
1407992845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MA42553
- Practice address
- 65 E Northfield Rd
Suite a
Livingston, NJ 07039-4231 - Phone
- (973) 992-0810
- Fax
- (973) 992-9435
- NPI assigned
- Jan 30, 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MA42553 | NJ | Primary |
Addresses
Primary practice location
65 E Northfield Rd
Suite a
Livingston, NJ 07039-4231
Mailing address
1 Kenwood CT
North Caldwell, NJ 07006-4138
Phone (973) 228-4376
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA42553 | NJ | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407992845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 KENWOOD CT",
"city": "NORTH CALDWELL",
"state": "NJ",
"postal_code": "070064138",
"telephone_number": "973-228-4376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 E NORTHFIELD RD",
"address_2": "SUITE A",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070394231",
"telephone_number": "973-992-0810",
"fax_number": "973-992-9435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULGAONKAR",
"first_name": "UJWALA",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "MA42553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livingston, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.