Individual provider Active NPI

Madhav Prakash Upadhyaya, M.D.

  • Nuclear Cardiology Physician
  • Tinton Falls, NJ
National Provider Identifier
1861751034
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Cardiology PhysicianTaxonomy code 207UN0901X
License
25MA11208100 Issued in NJ
Practice address
21 N Gilbert St
Tinton Falls, NJ 07701-4950
Phone
(732) 542-7600
NPI assigned
May 9, 2012
Last updated
Aug 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036.138533 IL
Internal Medicine Physician 207R00000X 303003 LA
Nuclear Cardiology Physician 207UN0901X 25MA11208100 NJ Primary

Addresses

Primary practice location

21 N Gilbert St
Tinton Falls, NJ 07701-4950

Mailing address

1514 Jefferson Hwy
New Orleans, LA 70121-2429

Other practice location 1

9 Mule Rd Ste E1
Toms River, NJ 08755-5052
Phone (732) 281-1101

Other practice location 2

35 Beaverson Blvd Ste 9B
Brick, NJ 08723-7862
Phone (732) 262-4262

Other practice location 3

1 Hwy 35
Keyport, NJ 07735-1166
Phone (732) 360-6333

Other practice location 4

115 E Bay Ave
Manahawkin, NJ 08050-3109
Phone (609) 971-3300

Other practice location 5

1820 State Route 33 Ste 4B
Neptune, NJ 07753-4860
Phone (732) 776-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, NJ2 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
I20201118001709 LA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1759682446 Reassigns benefits to 1 organization
I20211007000165 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1759682446 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Associates of the Delaware Valley,P aGroup PAC ID 9032001284, 94 clinicians
Shore Heart Group, PAGroup PAC ID 1557268448, 36 clinicians

Practice addresses (Care Compare)

1 Hwy 35
Keyport, NJ 07735-1166
Phone (732) 360-6333

115 E Bay Ave
Manahawkin, NJ 08050-3109
Phone (609) 971-3300

1820 State Route 33
Suite 4B
Neptune, NJ 07753-4860
Phone (732) 776-8500

21 N Gilbert St
Tinton Falls, NJ 07701-4950
Phone (732) 542-7600

210 W Atlantic Ave
Haddon Heights, NJ 08035-1715
Phone (856) 546-3003

35 Beaverson Blvd
Suite 9B
Brick, NJ 08723-7862
Phone (732) 262-4262

9 Mule Rd
Toms River, NJ 08755-5052
Phone (732) 281-1101

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting45
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.138533ILMDInternal Medicine Physician
303003LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC Internal Medicine CurrentSince Oct 19, 2020 Accepting new patients
Shore Heart Group, PA Nuclear Cardiology CurrentSince Sep 29, 2021 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jun 6, 2022 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC Internal Medicine CurrentSince Jun 6, 2022 Accepting new patients
Cardiovascular Associates of the Delaware Valley,P a CurrentSince Jun 1, 2025 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Meridian Cardiovascular Interpretive Services PC CurrentSince Jan 28, 2024 Accepting new patients
Ochsner Clinic LLC CurrentSince Oct 19, 2020 Accepting new patients

Locations

1514 Jefferson Hwy
New Orleans, LA 70121

35 Beaverson Blvd
Ste 8C
Brick, NJ 08723
Phone (732) 262-4262

35 Beaverson Blvd
Ste 9B
Brick, NJ 08723
Phone (732) 262-4262

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

120 White Horse Pike
Ste 112
Haddon Hgts, NJ 08035
Phone 85654705392215

210 W Atlantic Ave
Haddon Hts, NJ 08035
Phone (856) 546-3003

1 State Route 35
Keyport, NJ 07735
Phone (732) 360-6333

1 State Route 35
Ste 2
Keyport, NJ 07735
Phone (732) 335-3937

115 E Bay Ave
Manahawkin, NJ 08050
Phone (609) 597-9477

10 Neptune Blvd
Ste 101
Neptune, NJ 07753
Phone (732) 775-5811

1820 State Route 33
Ste 4B
Neptune, NJ 07753
Phone (732) 776-8500

21 N Gilbert St
Tinton Falls, NJ 07701
Phone (732) 741-1902

9 Mule Rd
Ste E1
Toms River, NJ 08755
Phone (732) 281-1101

1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71422
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1336521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1861751034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 N GILBERT ST",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077014950",
            "telephone_number": "732-542-7600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Mule Rd Ste E1",
            "address_purpose": "LOCATION",
            "city": "Toms River",
            "state": "NJ",
            "postal_code": "087555052",
            "country_code": "US",
            "telephone_number": "732-281-1101",
            "fax_number": "732-281-1105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 Beaverson Blvd Ste 9B",
            "address_purpose": "LOCATION",
            "city": "Brick",
            "state": "NJ",
            "postal_code": "087237862",
            "country_code": "US",
            "telephone_number": "732-262-4262",
            "fax_number": "732-262-4317",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Hwy 35",
            "address_purpose": "LOCATION",
            "city": "Keyport",
            "state": "NJ",
            "postal_code": "077351166",
            "country_code": "US",
            "telephone_number": "732-360-6333",
            "fax_number": "732-888-8225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 E Bay Ave",
            "address_purpose": "LOCATION",
            "city": "Manahawkin",
            "state": "NJ",
            "postal_code": "080503109",
            "country_code": "US",
            "telephone_number": "609-971-3300",
            "fax_number": "609-597-4656",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1820 State Route 33 Ste 4B",
            "address_purpose": "LOCATION",
            "city": "Neptune",
            "state": "NJ",
            "postal_code": "077534860",
            "country_code": "US",
            "telephone_number": "732-776-8500",
            "fax_number": "732-776-8946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UPADHYAYA",
        "first_name": "MADHAV",
        "middle_name": "PRAKASH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-09",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.138533",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "303003",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NJ",
            "license": "25MA11208100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinton Falls, NJ

Sources for this page

Verify at the official NPI Registry.