Organization
KETANKUMAR VAIDYA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KETANKUMAR N VAIDYA MD (OWNER)
(732) 985-2151
Entity
Organization
Contact information
Practice address
2149 WOODBRIDGE AVE, EDISON, NJ 08817-4474
(732) 985-2151
(732) 985-0650
Mailing address
PO BOX 96, SEWAREN, NJ 07077-0096
(732) 985-2151
(732) 985-0650
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MA74514
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9002707
—
NJ
Enumeration date
02/01/2007
Last updated
06/11/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up