Individual provider Active NPI

Shyamashree Sengupta, M.D.

  • Maternal & Fetal Medicine Physician
  • East Brunswick, NJ
National Provider Identifier
1477662013
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
25MA04462900 Issued in NJ
Practice address
1 Auer CT
Suites a and B
East Brunswick, NJ 08816-5823
Phone
(732) 390-1020
Fax
(732) 390-8035
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 25MA04462900 NJ Primary
Maternal & Fetal Medicine Physician 207VM0101X MD031191-E PA

Addresses

Primary practice location

1 Auer CT
Suites a and B
East Brunswick, NJ 08816-5823

Mailing address

1 Auer CT
Suites a and B
East Brunswick, NJ 08816-5823
Phone (732) 390-1020

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
I20190403002390 NJ Practitioner - Obstetrics/Gynecology 0840531612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Peters University HospitalGroup PAC ID 9931012382, 158 clinicians

Practice addresses (Care Compare)

254 Easton Ave
New Brunswick, NJ 08901-1766
Phone (732) 745-8600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA04462900NJMDMaternal & Fetal Medicine Physician
MD031191-EPAMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Peter'S University Hospital CurrentSince Feb 16, 2019 Accepting new patients
Saint Peter'S University Hospital CurrentSince Feb 16, 2019 Accepting new patients
Saint Peter'S Healthcare System Physician Associates Past Accepting new patients

Locations

254 Easton Ave
Fl First
New Brunswick, NJ 08901

123 How Ln
New Brunswick, NJ 08901
Phone (732) 448-1000

254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453

Interoperability endpoints

  • Direct secure messaging: shyamashree.sengupta.1@8568.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477662013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 AUER CT",
            "address_2": "SUITES A AND B",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165823",
            "telephone_number": "732-390-1020",
            "fax_number": "732-390-8035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 AUER CT",
            "address_2": "SUITES A AND B",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165823",
            "telephone_number": "732-390-1020",
            "fax_number": "732-390-8035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENGUPTA",
        "first_name": "SHYAMASHREE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NJ",
            "license": "25MA04462900",
            "primary": true
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "PA",
            "license": "MD031191-E",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.