Active NPI
Hansa Shirish Udeshi, M.D.
- Obstetrics & Gynecology Physician
- North Brunswick, NJ
National Provider Identifier
1659476935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MA029578
- Practice address
- 1445 RT 130 S
North Brunswick, NJ 08902 - Phone
- (732) 821-8550
- Fax
- (732) 821-1449
- NPI assigned
- Sep 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MA029578 | NJ | Primary |
Addresses
Primary practice location
1445 RT 130 S
North Brunswick, NJ 08902
Mailing address
1445 RT 130 S
North Brunswick, NJ 08902
Phone (732) 821-8550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0384208 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA029578 | NJ | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286928000000",
"number": "1659476935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1445 RT 130 S",
"city": "NORTH BRUNSWICK",
"state": "NJ",
"postal_code": "08902",
"telephone_number": "732-821-8550",
"fax_number": "732-821-1449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1445 RT 130 S",
"city": "NORTH BRUNSWICK",
"state": "NJ",
"postal_code": "08902",
"telephone_number": "732-821-8550",
"fax_number": "732-821-1449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UDESHI",
"first_name": "HANSA",
"middle_name": "SHIRISH",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-13",
"last_updated": "2010-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NJ",
"license": "MA029578",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0384208",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.