| Shruti Balwalli-udyawer, APN | |
|
149 Main St, South River, NJ 08882-1232 | |
| (732) 238-6440 | |
| (732) 651-1232 |
| Full Name | Shruti Balwalli-udyawer |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 16 Years |
| Location | 149 Main St, South River, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689182867 | NPI | - | NPPES |
| 26NJ00769400 | Other | NJ | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 26NJ00769400 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Raritan Bay Medical Center Perth Amboy Division | Perth amboy, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hackensack Meridian Health Medical Group - Specialty Care Pc | 9133032519 | 1587 |
| Entity Name | Hackensack Meridian Health Medical Group - Specialty Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215989249 PECOS PAC ID: 9133032519 Enrollment ID: O20031111000524 |
| Entity Name | Hackensack Meridian Urgent Care Plus Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396858874 PECOS PAC ID: 4385624162 Enrollment ID: O20040722000477 |
| Entity Name | Hackensack Meridian Health Medical Group - Primary Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336203538 PECOS PAC ID: 7911003330 Enrollment ID: O20070502000000 |
| Mailing Address | Practice Location Address |
|---|---|
| Shruti Balwalli-udyawer, APN 111 James St, Edison, NJ 08820-3967 Ph: (732) 452-9700 | Shruti Balwalli-udyawer, APN 149 Main St, South River, NJ 08882-1232 Ph: (732) 238-6440 |
Ms. Glenda L. Mathew, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 149 Main St, South River, NJ 08882 Phone: 732-238-6440 Fax: 732-651-1431 | |
Vic Anthony Urbano, APN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1 Continental Ct, South River, NJ 08882 Phone: 732-693-1677 | |
Jean Claude Laborde, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9 Charter Dr, South River, NJ 08882 Phone: 732-432-0311 Fax: 732-432-0311 | |
Nicholas Anthony Remo, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13 Continental Ct, South River, NJ 08882 Phone: 732-492-0837 |