NPPES file of Aug 9, 2026

Hinesh Upadhyay, M.D.

Pulmonary Disease Physician · East Orange, NJ

Hinesh Upadhyay, M.D. is a pulmonary disease physician with a practice address in East Orange, New Jersey, and NPI 1144632944, issued on May 28, 2014. Check the license (New Jersey 25MA09477900, as entered in NPPES) on the New Jersey State Board of Medical Examiners; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1144632944
Name
Hinesh Upadhyay
Credential
M.D.
Primary taxonomy
Pulmonary Disease Physician 207RP1001X
License numbers
25MA09477900 NJ
R8676 TX
Self-reported in NPPES; status is on the state search
Practice location
300 Central Ave, East Orange, NJ 07018
Phone
(973) 672-8400
Enumerated
May 28, 2014
Record last updated
Aug 6, 2025
Medicare enrollment
Enrolled (PECOS I20140910000235); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 300 Central Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Solomon Alcantara, MDEmergency Medicine Physician1033111869
  2. Wendy AllenPsychiatric/Mental Health Nurse Practitioner1396497657
  3. Max Auerbach, PAPhysician Assistant1508870924
  4. Valerie Caivano, RNRegistered Nurse First Assistant1194048843
  5. Olga Calderon-Banzon, MDAnesthesiology Physician1942202775
  6. Stephanie Chen, PAPhysician Assistant1215459169

Verify Hinesh Upadhyay in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNew Jersey State Board of Medical Examiners
    Search for license 25MA09477900
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the New Jersey license search

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99% fewer Medicare Part D claims than the average pulmonary disease physician in 2024

13 Medicare Part D claims, against an average of 1,425 among the 11,596 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims.

  1. Hinesh Upadhyay13
  2. Specialty average1,425

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Bills Medicare through 2 group practices

  1. Advanced Cardiology LLCCedar Knolls, NJ
  2. St Lukes Warren Physician Group PCPhillipsburg, NJ

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Hinesh Upadhyay among 509 pulmonary disease physician records in New Jersey

Hinesh Upadhyay, M.D. is one of 509 pulmonary disease physician records with a practice address in New Jersey. 87% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2014, is newer than 83% of them.

  • NPI issued2014 · 83% of these records are older, 14% newer
  • In a Medicare fileYes · 87% of these records are
  • In the CMS Doctors and Clinicians fileYes · 79% of these records are
  • Graduated2005 · median 1998 among the 401 with a school on file
  • Record last updated2025 · 55% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RP1001X and a New Jersey practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Pulmonary Disease Physician providers in New Jersey

There are 509 pulmonary disease physician records in New Jersey.

The 8 pulmonary disease physician records with the nearest ZIP codes

  1. Jeffrey Miller, DOEast Orange, NJ 070181184725897
  2. Walter Strauss, M.D.East Orange, NJ 070181235152356
  3. Christopher Tzanavaris, MDEast Orange, NJ 070171508326463
  4. Samir Abdelhadi, DOEdgewater, NJ 070201689858011
  5. Lucia Alvarez, MDEdgewater, NJ 070201447274196
  6. Young Jo, M.D.Clifton, NJ 070131255498804
  7. Ahmed Mekkawy, M.D.Clifton, NJ 070131033181680
  8. Daniel Levin, MDClifton, NJ 070121205850476

Common questions

What is Hinesh Upadhyay, M.D.'s NPI number?

Hinesh Upadhyay, M.D.'s National Provider Identifier (NPI) is 1144632944, issued on May 28, 2014. An NPI identifies a provider in billing; it is not a license.

Where is Hinesh Upadhyay, M.D. located?

The NPPES record lists a practice address at 300 Central Ave, East Orange, NJ, 07018. Phone: (973) 672-8400. Providers update this record themselves, so call before visiting.

How can I verify Hinesh Upadhyay, M.D.'s license?

NPPES lists New Jersey license number 25MA09477900, as entered by the provider. Search the New Jersey State Board of Medical Examiners at https://newjersey.mylicense.com/verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Hinesh Upadhyay, M.D. prescribe under Medicare Part D?

In 2024, Hinesh Upadhyay, M.D. had 13 Medicare Part D claims; the average among pulmonary disease physician prescribers was 1,425. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.