Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Shivanck Upadhyay, MBBS, MD

Individual provider Internal Medicine Physician · NPI 1376815647

Dr. Shivanck Upadhyay, MBBS, MD is a Pulmonary Disease in Paterson, New Jersey. Qualified in 1998, 28 years ago. Practices with Froedtert Manitowoc Medical Group, LLC, a 157-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Kentucky, New Jersey, Virginia and Wisconsin.

Years since qualifying
28
Licensed in
KY, NJ, VA, WI
In the registry since
2012
Specialties on file
7
What do these letters mean?
MBBS — Bachelor of Medicine, Bachelor of Surgery
The medical degree awarded in the UK, India and many Commonwealth countries; equivalent to an MD.
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

703 Main St
Paterson, NJ 07503-2621
Phone: (973) 754-2000
Fax: (973) 754-3376
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1 Medical Village Drive, Edgewood, KY 41017-3403 — (859) 757-2927
  • 618 Hospital Rd, Tappahannock, VA 22560-5000 — (804) 828-4635
  • 1818 N Meade St, Appleton, WI 54911-3454 — (920) 731-4101
  • 130 2nd St, Neenah, WI 54956-2883 — (920) 731-4101

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 25MA10446900 (NJ)
Internal Medicine Physician Taxonomy 207R00000X · Licence 25MA10446900 (NJ)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence 0101284367 (VA)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence 84972 (WI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 84972 (WI)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence 61005 (KY)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence 25MA10446900 (NJ)

Record details

NPI number1376815647
Entity typeIndividual (Type 1)
GenderMale
Credentials MBBS , MD
Sole proprietorNo
NPI enumeratedFebruary 2, 2012
Last updated in NPPESApril 27, 2026
Certification dateApril 27, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPULMONARY DISEASE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Froedtert Manitowoc Medical Group, Llc — 157 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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