SHRUTI BALWALLI-UDYAWER (NPI# 1689182867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689182867 |
| Entity Type | Individual |
| Full Name | SHRUTI BALWALLI-UDYAWER |
| Credential | APN |
| Practice Address |
149 Main St South River NJ 08882-1232 |
| Mailing Address |
111 James St Edison NJ 08820-3967 |
| Practice Telephone | 7322386440 |
| Practice Fax Number | 7326511232 |
| Mailing Telephone | 7324529700 |
| Mailing Fax Number | 7324529720 |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2020-02-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 26NJ00769400 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | LICENSE | 26NJ00769400 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 111 James St, Edison, NJ 088203967 | 7324529700 | 7324529720 |
| Street Address |
149 MAIN ST |
| City | SOUTH RIVER |
| State | NJ |
| Zip Code | 08882-1232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265644256 | Stephen Tabori | Dentist | 171 Main Steet, Suite 4, South River, NJ 08882 | 2007-05-04 |
| 1417032855 | Anuradha Yelchur | Internal Medicine | 71 Main Street, Instacare Medical Center, South River, NJ 08882 | 2006-10-26 |
| 1205245503 | Cynthia Kozicki | Social Worker | 24 Northern St, South River, NJ 08882-1044 | 2014-08-12 |
| 1245622810 | Jersey Hospitalist LLC | Internal Medicine | 6 Pettit Ave, South River, NJ 08882-1053 | 2015-02-19 |
| 1235238478 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 231 Prospect Street, South River, NJ 08882-1124 | 2006-09-22 |
| 1649795253 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 231 Prospect St, South River, NJ 08882-1124 | 2017-08-04 |
| 1740538677 | Jane Sun | Pharmacist | 231 Prospect St, South River, NJ 08882-1124 | 2012-08-27 |
| 1013295617 | Pratik D Shah | Pharmacist | 231 Prospect St, South River, NJ 08882-1124 | 2011-07-30 |
| 1952611808 | Steven Toma | Pharmacist | 231 Prospect St, South River, NJ 08882-1124 | 2010-10-13 |
| 1457667883 | Silvia A. Carvalheiro | Pharmacist | 231 Prospect St, South River, NJ 08882-1124 | 2010-08-23 |
| Find all providers in zip 08882 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790732 | Emine Salif | Nurse Practitioner | 74 Union Ave Apt 4, Clifton, NJ 07011-2673 | 2020-11-06 |
| 1487255766 | Michelle Lynn Portadin | Nurse Practitioner | 19 Oak Glen Ln, Colts Neck, NJ 07722-1612 | 2020-11-04 |
| 1447850490 | Maria Purita Yballe | Nurse Practitioner | 8100 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2020-10-29 |
| 1437756954 | Maria J Tejada | Nurse Practitioner | 1163 Route 37 W Ste D4, Toms River, NJ 08755-4975 | 2020-10-07 |
| 1154938876 | Nancy Phillips | Nurse Practitioner | 202 Lisa Pl, North Brunswick, NJ 08902-5572 | 2020-09-27 |
| 1952914244 | Anna Manioudakis | Nurse Practitioner | 3540 Kennedy Blvd., Jersey City, NJ 07307 | 2020-08-26 |
| 1215547427 | Alison Del Duca | Nurse Practitioner | 10 Redshaw Blvd, Old Bridge, NJ 08857-4331 | 2020-08-03 |
| 1568071173 | Advanced Medical and Wellness Centers L.L.C. | Nurse Practitioner | 65 Newton Sparta Rd, Newton, NJ 07860-2816 | 2020-07-29 |
| 1659995025 | Downbeach Healthcare Consultants | Nurse Practitioner | 303 N Clermont Ave, Margate City, NJ 08402-2029 | 2020-06-02 |
| 1215559695 | Rutgers, School of Nursing-camden Community Health Clinics | Nurse Practitioner | The Branches Health Center, 1700 South 9th Street, Camden, NJ 08104 | 2020-05-08 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH RIVER |
| Zip Code | 08882 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.