Active NPI
Ushapanicker Mdllc
- Endocrinology, Diabetes & Metabolism Physician
- Edison, NJ
National Provider Identifier
1912989757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- Legal business name
- USHAPANICKER MDLLC
- Practice address
- 2 Maryland Ave
Edison, NJ 08820-2551 - Phone
- (732) 744-9288
- NPI assigned
- Nov 17, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Usha R Panicker, M.D.
- Title
- Sole Owner
- Phone
- (732) 744-9288
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | Primary |
Addresses
Primary practice location
2 Maryland Ave
Edison, NJ 08820-2551
Mailing address
2 Maryland Ave
Edison, NJ 08820-2551
Phone (732) 744-9288
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10202700 | Other | NJ | HORIZON NJ HEALTH |
| LP195 | Other | NJ | OXFORD |
| 1K6836 | Other | NJ | HEALTHNET |
| 2421743 | Other | NJ | AETNA |
| 8371202 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2 Maryland Ave
Edison, NJ 08820
Phone (732) 744-9288
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endocrinology, Diabetes & Metabolism Physician
- Edison, NJ
- NPI 1437131786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1912989757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 MARYLAND AVE",
"city": "EDISON",
"state": "NJ",
"postal_code": "088202551",
"telephone_number": "732-744-9288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 MARYLAND AVE",
"city": "EDISON",
"state": "NJ",
"postal_code": "088202551",
"telephone_number": "732-744-9288"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "USHAPANICKER MDLLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-17",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "PANICKER",
"authorized_official_first_name": "USHA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "SOLE OWNER",
"authorized_official_telephone_number": "732-744-9288",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HEALTH",
"identifier": "10202700",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "LP195",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "1K6836",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2421743",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8371202",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.