Individual provider Active NPI

Upendra S Dhanjal, MD

  • Pulmonary Disease Physician
  • Somers Point, NJ
National Provider Identifier
1831152404
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD065406L Issued in PA
Practice address
155 Medical Center Way
2ND FL
Somers Point, NJ 08244-2306
Phone
(609) 365-3100
Fax
(609) 365-3165
NPI assigned
Apr 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X MD065406L PA Primary

Addresses

Primary practice location

155 Medical Center Way
2ND FL
Somers Point, NJ 08244-2306

Mailing address

155 Medical Center Way
2ND FL
Somers Point, NJ 08244-2306
Phone (609) 365-3100

Other identifiers 3

IdentifierTypeStateIssuer
2906338332OtherMIBS
4236497MedicaidMI
290013010OtherMIRR MC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191104000042 NJ Practitioner - Pulmonary Disease 3870772569 Reassigns benefits to 1 organization
I20191104000078 PA Practitioner - Pulmonary Disease 3870772569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Rutgers New Jersey Medical School, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinical Health Care Associates of New Jersey PCGroup PAC ID 0749180198, 793 clinicians

Practice addresses (Care Compare)

155 Medical Ctr Way
Spec Care Somers Point
Somers Point, NJ 08244-2306
Phone (609) 365-3100

Hospital & facility affiliations

  • Shore Medical Center Hospital, Somers Point, NJ, CCN 310047
  • Pennsylvania Hospital Hospital, Philadelphia, PA, CCN 390226
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
  • Penn Presbyterian Medical Center Hospital, Philadelphia, PA, CCN 390223
  • Virtua Mount Holly Hospital Hospital, Mount Holly, NJ, CCN 310057

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD065406LPAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group CurrentSince Sep 9, 2019 Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Sep 9, 2019 Accepting new patients
University of Penn - Medical Group CurrentSince Sep 9, 2019 Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. Pulmonary Disease CurrentSince Sep 9, 2019 Accepting new patients
University of Penn - Medical Group Past Accepting new patients
Pankaj Hukku, MD PC Pulmonary Disease PastSince Jul 23, 2023 Accepting new patients
Pulmonary and Critical Care Associates Past Accepting new patients
SJMH Medical Practice-SMHC Pulmonary Disease Past Accepting new patients

Locations

1865 Route 70 E
Ste 210
Cherry Hill, NJ 08003
Phone (856) 427-4336

155 Medical Center Way
Spc Care
Somers Point, NJ 08244
Phone (609) 365-3100

155 Medical Center Way
#2
Somers Point, NJ 08244
Phone (609) 365-3100

155 Medical Center Way
Fl 3
Somers Point, NJ 08244
Phone (609) 365-6239

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

3400 Spruce St
Fl 3
Philadelphia, PA 19104

3549 Chestnut St
Fl 9
Philadelphia, PA 19104
Phone (215) 662-7005

3400 Spruce St
#11
Philadelphia, PA 19104
Phone (215) 662-2700

501 S 54th St
Philadelphia, PA 19143
Phone (215) 581-2046

Organizations & group practices 8

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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1831152404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 MEDICAL CENTER WAY",
            "address_2": "2ND FL",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442306",
            "telephone_number": "609-365-3100",
            "fax_number": "609-365-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 MEDICAL CENTER WAY",
            "address_2": "2ND FL",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442306",
            "telephone_number": "609-365-3100",
            "fax_number": "609-365-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHANJAL",
        "first_name": "UPENDRA",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD065406L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "2906338332",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4236497",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MC",
            "identifier": "290013010",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers Point, NJ

Sources for this page

Verify at the official NPI Registry.