Uttama Taneja, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MB07203600 Issued in NJ

Practice address

43 Yawpo Ave
Oakland, NJ 07436-2714

Phone

(201) 405-0500

Fax

(201) 337-5585

NPI assigned

Aug 9, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: utaneja77284@direct.optum.com

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.

• Kayal Medical Group, LLC

  dba Kayal Orthopaedic Center

  • Orthopaedic Surgery Physician
  • Franklin Lakes, NJ
  • NPI 1528729159
  NPD (past)
• Kayal Orthopaedic Center, P.C.

  • Orthopaedic Surgery Physician
  • Franklin Lakes, NJ
  • NPI 1427014083
  NPD (past)

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358467200000",
    "number": "1649271065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 PALISADE AVE",
            "address_2": "STE 204",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663419",
            "telephone_number": "201-928-1093",
            "fax_number": "201-928-0842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 YAWPO AVE",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074362714",
            "telephone_number": "201-405-0500",
            "fax_number": "201-337-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANEJA",
        "first_name": "UTTAMA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2013-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MB07203600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010847",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Stokes, BCBA
• Summit Medical Group PA (CityMD)
• Summit Medical Group PA (Citymd)
• Jakub Syniec, COTA/L
• Shahrzad Tajtaraghi, DDS
• Maria Tenebruso, PA-C
• Joy E Tenga, LPC
• The Arc of Bergen and Passaic Counties, Inc.
• The Hill Performance Center, LLC
• Joyce Thomas, FNP-C

• Pediatrics Physician in Oakland, NJ
• Providers in Oakland, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.