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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us