Provider Demographics
NPI:1902912561
Name:UPADHYAYA, HITENDRA (M D)
Entity Type:Individual
Prefix:
First Name:HITENDRA
Middle Name:
Last Name:UPADHYAYA
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 F X DOWNEY CT
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-2338
Mailing Address - Country:US
Mailing Address - Phone:973-575-5231
Mailing Address - Fax:201-915-2219
Practice Address - Street 1:282 SAINT PAULS AVE
Practice Address - Street 2:GROUND FLOOR OFFICE
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-5012
Practice Address - Country:US
Practice Address - Phone:862-222-2427
Practice Address - Fax:201-915-2219
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-23
Last Update Date:2009-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05772000207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7003404Medicaid