Active NPI
Usha R Panicker, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Edison, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 25MA05249000
- Practice address
- 2 Maryland Ave
Edison, NJ 08820-2551 - Phone
- (732) 744-9288
- Fax
- (732) 744-9278
- NPI assigned
- Nov 14, 2005
- Last updated
- Sep 25, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 25MA05249000 | NJ | Primary |
| Internal Medicine Physician | 207R00000X | 25MA05249000 | NJ |
Addresses
Primary practice location
2 Maryland Ave
Edison, NJ 08820-2551
Mailing address
2 Maryland Ave
Edison, NJ 08820-2551
Phone (732) 744-9288
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4526619 | Other | NJ | AETNA |
| 1K6836 | Other | NJ | HEALTHNET |
| 5364906 | Medicaid | NJ | |
| 1121995 | Other | NJ | HORIZON NJ HEALTH |
| LP195 | Other | NJ | OXFORD |
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
- Endocrinology
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2 Maryland Ave
Edison, NJ 08820-2551
Phone (732) 744-9288
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA05249000 | NJ | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ushapanicker Mdllc | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
Locations
2 Maryland Ave
Edison, NJ 08820
Phone (732) 744-9288
904 Oak Tree Ave
Ste D
South Plainfield, NJ 07080
Phone (201) 452-8442
Organizations & group practices 1
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Edison, NJ
- NPI 1912989757
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba JFK University Medical Center
- General Acute Care Hospital
- Edison, NJ
- NPI 1144894577
-
dba Hackensack Meridian Diagnostic Laboratory
- Clinical Medical Laboratory
- Edison, NJ
- NPI 1780301366
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190678400000",
"number": "1437131786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 MARYLAND AVE",
"city": "EDISON",
"state": "NJ",
"postal_code": "088202551",
"telephone_number": "732-744-9288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 MARYLAND AVE",
"city": "EDISON",
"state": "NJ",
"postal_code": "088202551",
"telephone_number": "732-744-9288",
"fax_number": "732-744-9278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANICKER",
"first_name": "USHA",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-14",
"last_updated": "2007-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NJ",
"license": "25MA05249000",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA05249000",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4526619",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "1K6836",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5364906",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HEALTH",
"identifier": "1121995",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "LP195",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.