Samir S Undavia (NPI# 1811130057, PAC ID# 1153453469) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
Nation Provider ID (NPI) | 1811130057 |
PAC ID by PECOS | 1153453469 |
Professional Enrollment ID | I20130710000299 |
Full Name | Samir S Undavia |
Organization Legal Name | PRINCETON EYE AND EAR LLC |
Address |
5 Plainsboro Rd Suite 510 Plainsboro NJ 08536-1917 |
Phone Number | 6094038843 |
Gender | M |
Medical School | ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY |
Graduation Year | 2009 |
Primary Specialty | OTOLARYNGOLOGY |
Group Practice PAC ID | 4587802996 |
Number of Group Practice Members | 12 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
310010 | UNIVERSITY MEDICAL CENTER OF PRINCETON AT PLAINSBORO |
310110 | ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON |
Address | Phone | Organization |
---|---|---|
2999 Princeton Pike, Suite 2, Lawrenceville, NJ 08648-3261 | 6094038843 | PRINCETON EYE AND EAR LLC |
5 Plainsboro Rd, Suite 510, Plainsboro, NJ 08536-1917 | 6094038843 | PRINCETON EYE AND EAR LLC |
Organization Legal Name | PRINCETON EYE AND EAR LLC |
Physicians | 12 |
Name | Specialty | Organization | Address |
---|---|---|---|
James Dublin | Qualified Audiologist | Princeton Eye and Ear LLC | 2999 Princeton Pike, Suite 2, Lawrenceville, NJ 08648-3261 |
Kelly-ann Kilcollins | Nurse Practitioner | Princeton Eye and Ear LLC | 2999 Princeton Pike, Suite 2, Lawrenceville, NJ 08648-3261 |
Angela L Crast | Qualified Audiologist | Princeton Eye and Ear LLC | 2999 Princeton Pike, Suite 2, Lawrenceville, NJ 08648-3261 |
Michael Paul Ondik | Otolaryngology | Princeton Eye and Ear LLC | 1050 Stony Hill Rd, Yardley, PA 19067-5500 |
Florence Belhassen | Qualified Audiologist | Princeton Eye and Ear LLC | 901 W Main St, Bldg A, Freehold, NJ 07728-2537 |
Michael Perl | Qualified Audiologist | Princeton Eye and Ear LLC | 2999 Princeton Pike, Suite 2, Lawrenceville, NJ 08648-3261 |
Gregory Scott Smith | Otolaryngology | Princeton Eye and Ear LLC | 901 W Main St, Bldg A, Freehold, NJ 07728-2537 |
Chetan Shah | Otolaryngology | Princeton Eye and Ear LLC | 2999 Princeton Pike, Suite 2, Lawrenceville, NJ 08648-3261 |
Nishant Reddy | Otolaryngology | Princeton Eye and Ear LLC | 2999 Princeton Pike, Suite 2, Lawrenceville, NJ 08648-3261 |
Irene M Cohen | Qualified Audiologist | Princeton Eye and Ear LLC | 901 W Main St, Bldg A, Freehold, NJ 07728-2537 |
Street Address |
5 PLAINSBORO RD SUITE 510 |
City | PLAINSBORO |
State | NJ |
Zip | 08536-1917 |
Name | Specialty | Organization | Address |
---|---|---|---|
Sejal Amin | Obstetrics/gynecology | Friedman and Gross Associates PC | 5 Plainsboro Rd, Suite 500, Plainsboro, NJ 08536-1917 |
Vilma Ramirez | Clinical Social Worker | Princeton Healthcare Affiliated Physicians PC | 5 Plainsboro Rd, Suite 300, Plainsboro, NJ 08536-1915 |
Tiscy Lukose | Nurse Practitioner | Princeton Healthcare Affiliated Physicians PC | 5 Plainsboro Rd, Suite 300, Plainsboro, NJ 08536-1915 |
Jay Naik | Internal Medicine | Princeton Healthcare Affiliated Physicians PC | 5 Plainsboro Rd, Suite 300, Plainsboro, NJ 08536-1915 |
Sharon Castellino | Hospitalist | Princeton Healthcare Affiliated Physicians PC | 5 Plainsboro Rd, Suite 300, Plainsboro, NJ 08536-1915 |
Ana Tobie | Nurse Practitioner | Princeton Healthcare Affiliated Physicians PC | 5 Plainsboro Rd, Suite 300, Plainsboro, NJ 08536-1915 |
Jeffrey K Gross | Obstetrics/gynecology | Friedman and Gross Associates PC | 5 Plainsboro Rd, Suite 500, Plainsboro, NJ 08536-1917 |
Tomer Davidov | General Surgery | Princeton Surgical Associates Pa | 5 Plainsboro Rd, Suite 400, Plainsboro, NJ 08536-1915 |
Dinesh Dhanaraj | Orthopedic Surgery | Princeton Bone and Joint | 5 Plainsboro Rd, Suite 100, Plainsboro, NJ 08536-1915 |
Lavanya Kamineni | Nurse Practitioner | Princeton Healthcare Affiliated Physicians PC | 5 Plainsboro Rd, Suite 300, Plainsboro, NJ 08536-1915 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Indira M Chandler | Nurse Practitioner | Minuteclinic Diagnostic of New Jersey LLC | 4 Schalks Crossing Rd, Plainsboro, NJ 08536-1604 |
Chelsea Ann Niper | Nurse Practitioner | Minuteclinic Diagnostic of New Jersey LLC | 4 Schalks Crossing Rd, Plainsboro, NJ 08536-1604 |
Dipan Patel | Podiatry | J M Podiatry Associates PC | 10 Schalks Crossing Rd, Plainsboro, NJ 08536-1612 |
Paul E Neiheiser | Optometry | Allied Vision Services of Plainsboro | 10 Schalks Crossing Rd, Plainsboro, NJ 08536-1612 |
Stuart W Kushel | Podiatry | 10 Schalks Crossing Rd, Plainsboro, NJ 08536-1612 | |
Byung-kee Bang | Internal Medicine | 9 Schalks Crossing Rd, Suite 720, Plainsboro, NJ 08536-1618 | |
Xiaomei Chen | Internal Medicine | 5 Schalks Crossing Rd, Suite 228, Plainsboro, NJ 08536-1620 | |
Brittany Pasquarello | Qualified Audiologist | Princeton Otolaryngology Assoc P A | 7 Schalks Crossing Rd, Suite 324, Plainsboro, NJ 08536-1622 |
Karen K Herring | Qualified Audiologist | Princeton Otolaryngology Assoc P A | 7 Schalks Crossing Rd, Suite 324, Plainsboro, NJ 08536-1622 |
Scott L Kay | Otolaryngology | Princeton Otolaryngology Assoc P A | 7 Schalks Crossing Rd, Suite 324, Plainsboro, NJ 08536-1622 |
Find all physicians in zip 08536 |
City | PLAINSBORO |
Zip Code | 08536 |
Specialty | OTOLARYNGOLOGY |
City + Specialty | PLAINSBORO + OTOLARYNGOLOGY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.