Active NPI
Shetal Mansuria MD LLC
- Obstetrics & Gynecology Physician
- Livingston, NJ
National Provider Identifier
1629206875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MA71413
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shetal M Mansuria, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 064937 | Other | NJ | MEDICARE, TYPE UNSPECIFIED |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Livingston, NJ
- NPI 1902883788
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.