NPIMap

Individual provider Active NPI

Paras Chandrakant Udani, DO

  • Infectious Disease Physician
  • Pomona, NJ
National Provider Identifier
1801059183
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
25MB08386800 Issued in NJ
Practice address
208 W White Horse Pike
Pomona, NJ 08240-0907
Phone
(609) 442-8236
Fax
(609) 652-8023
NPI assigned
Jul 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 25MB08386800 NJ Primary

Addresses

Primary practice location

208 W White Horse Pike
Pomona, NJ 08240-0907

Mailing address

PO Box 907
Pomona, NJ 08240-0907
Phone (609) 442-8236

Other practice location 1

1645 Haven Ave
Ocean City, NJ 08226-3066
Phone (609) 360-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110201000288 NJ Practitioner - Infectious DiseasePractitioner - Internal Medicine 8628106390 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Infectious Disease Consultants, LLCGroup PAC ID 5395924740, 8 clinicians

Practice addresses (Care Compare)

208 W Whitehorse Pike
Pomona, NJ 08240
Phone (609) 652-2256

Hospital & facility affiliations

  • Cape Regional Medical Center Inc Hospital, Cape May Court House, NJ, CCN 310011
  • Shore Medical Center Hospital, Somers Point, NJ, CCN 310047
  • Atlanticare Regional Medical Center - City Campus Hospital, Atlantic City, NJ, CCN 310064
  • Inspira Medical Center Vineland Hospital, Vineland, NJ, CCN 310032
  • Cooper University Hospital Hospital, Camden, NJ, CCN 310014

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB08386800NJMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Infectious Disease Consultants, LLC Infectious Disease CurrentSince Dec 12, 2010 Accepting new patients
Atlanticare Health Services, Inc. CurrentSince Dec 30, 2025 Accepting new patients
Niranjan G Trivedi M D P C CurrentSince Dec 22, 2019 Accepting new patients
Atlanticare Health Services, Inc. CurrentSince Dec 30, 2025 Accepting new patients
Atlanticare Physician Group Past Accepting new patients

Locations

1401 Atlantic Ave
Ste 2600
Atlantic City, NJ 08401
Phone (609) 441-8036

4 W Roosevelt Blvd
Ste 11
Marmora, NJ 08223
Phone (609) 814-9550

1645 Haven Ave
Ocean City, NJ 08226
Phone (609) 360-0300

Organizations & group practices 5

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1801059183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 907",
            "city": "POMONA",
            "state": "NJ",
            "postal_code": "082400907",
            "telephone_number": "609-442-8236",
            "fax_number": "609-652-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W WHITE HORSE PIKE",
            "city": "POMONA",
            "state": "NJ",
            "postal_code": "082400907",
            "telephone_number": "609-442-8236",
            "fax_number": "609-652-8023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1645 Haven Ave",
            "address_purpose": "LOCATION",
            "city": "Ocean City",
            "state": "NJ",
            "postal_code": "082263066",
            "country_code": "US",
            "telephone_number": "609-360-0300",
            "fax_number": "609-652-8023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UDANI",
        "first_name": "PARAS",
        "middle_name": "CHANDRAKANT",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-07",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "25MB08386800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, NJ

Sources for this page

Verify at the official NPI Registry.