Organization Active NPI

Shetal Mansuria MD LLC

  • Obstetrics & Gynecology Physician
  • Livingston, NJ
National Provider Identifier
1629206875
Registry record updated Jun 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MA71413 Issued in NJ
Legal business name
SHETAL MANSURIA MD LLC
Practice address
22 Old Short Hills Rd
Suite 213
Livingston, NJ 07039-5604
Phone
(973) 535-3800
Fax
(973) 535-3808
NPI assigned
Jun 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2009

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

Authorized official

Name
Dr. Shetal M Mansuria, MDNPI 1902883788
Title
Physician/Owner
Phone
(973) 294-2212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X MA71413 NJ Primary

Addresses

Primary practice location

22 Old Short Hills Rd
Suite 213
Livingston, NJ 07039-5604

Mailing address

PO Box 2107
Livingston, NJ 07039-7707
Phone (973) 535-3800

Other identifiers 1

IdentifierTypeStateIssuer
064937OtherNJMEDICARE, TYPE UNSPECIFIED

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245974400000",
    "number": "1629206875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2107",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070397707",
            "telephone_number": "973-535-3800",
            "fax_number": "973-535-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 OLD SHORT HILLS RD",
            "address_2": "SUITE 213",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395604",
            "telephone_number": "973-535-3800",
            "fax_number": "973-535-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHETAL MANSURIA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-26",
        "last_updated": "2009-06-26",
        "status": "A",
        "authorized_official_last_name": "MANSURIA",
        "authorized_official_first_name": "SHETAL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "973-294-2212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "MA71413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE, TYPE UNSPECIFIED",
            "identifier": "064937",
            "state": "NJ"
        }
    ],
    "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 Jun 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.