Individual provider Active NPI

Umesh Katdare, M.D.

  • Interventional Cardiology Physician
  • Guttenberg, NJ
National Provider Identifier
1447255898
Registry record updated Apr 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
25MA07168400 Issued in NJ
Practice address
425 70TH St
Guttenberg, NJ 07093-2417
Phone
(201) 854-0055
Fax
(201) 854-2633
NPI assigned
Jun 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X MA071684 NJ
Interventional Cardiology Physician 207RI0011X 25MA07168400 NJ Primary

Addresses

Primary practice location

425 70TH St
Guttenberg, NJ 07093-2417

Mailing address

PO Box 2566
Guttenberg, NJ 07093-0641
Phone (201) 854-0055

Other identifiers 14

IdentifierTypeStateIssuer
3614421OtherNJAETNA HMO #
P00174451OtherNJRAILROAD MDCR #
2K8700OtherNJHEALTHNET #
612Q12OtherNJEMPIRE BC/BS NEWARK #
8221517OtherNJGHI ID #
P3389564OtherNJOXFORD #
0036331OtherNJMEDICAID ID #
01000676400OtherNJAMERICHOICE ID #
612Q13OtherNJEMPIRE BC/BS SECAUCUS #
40570OtherNJUNIVERSITY HEALTH PLANS #
612Q11OtherNJEMPIRE BC/BS GUTTENBERG #
0036331MedicaidNJ
2394424000OtherNJAMERIHEALTH ID #
7307613OtherNJAETNA PPO #

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040918000171 NJ Practitioner - Interventional RadiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Other (Physician)Practitioner - Interventional Cardiology 2264400142 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians

Practice addresses (Care Compare)

2 Journal Square PLZ
FL 3
Jersey City, NJ 07306-4001
Phone (551) 325-2200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting11
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA071684NJMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care of New Jersey PC CurrentSince Aug 2, 2017 Accepting new patients
Medical Associates of Englewood, PC CurrentSince Oct 18, 2024 Accepting new patients
Palisades Cardiology Services PA CurrentSince Sep 11, 2013 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Aug 2, 2017 Accepting new patients
Hudson Heart Group, PC Past Accepting new patients

Locations

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073

180 Engle St
Englewood, NJ 07631
Phone (201) 567-2050

22-02 Broadway
Ste 301
Fair Lawn, NJ 07410
Phone (201) 414-5016

425 70th St
Guttenberg, NJ 07093
Phone (201) 854-0055

427 70th St
Guttenberg, NJ 07093
Phone (201) 854-0055

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

2 Journal Square Plz
Fl 3
Jersey City, NJ 07306
Phone (201) 894-3636

253 Lafayette St
Newark, NJ 07105
Phone (973) 344-6897

7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000

38 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 866-5151

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

3403 S Delsea Dr
Vineland, NJ 08360
Phone (856) 293-6974

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522627200000",
    "number": "1447255898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2566",
            "city": "GUTTENBERG",
            "state": "NJ",
            "postal_code": "070930641",
            "telephone_number": "201-854-0055",
            "fax_number": "201-854-2633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 70TH ST",
            "city": "GUTTENBERG",
            "state": "NJ",
            "postal_code": "070932417",
            "telephone_number": "201-854-0055",
            "fax_number": "201-854-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATDARE",
        "first_name": "UMESH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2018-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NJ",
            "license": "MA071684",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NJ",
            "license": "25MA07168400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO #",
            "identifier": "3614421",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MDCR #",
            "identifier": "P00174451",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET #",
            "identifier": "2K8700",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS NEWARK #",
            "identifier": "612Q12",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI ID #",
            "identifier": "8221517",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD #",
            "identifier": "P3389564",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID ID #",
            "identifier": "0036331",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE ID #",
            "identifier": "01000676400",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS SECAUCUS #",
            "identifier": "612Q13",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSITY HEALTH PLANS #",
            "identifier": "40570",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS GUTTENBERG #",
            "identifier": "612Q11",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0036331",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH ID #",
            "identifier": "2394424000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO #",
            "identifier": "7307613",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guttenberg, NJ

Sources for this page

Verify at the official NPI Registry.