Individual
SAMSON G VIMALANANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1610 ROUTE 88 FL 3, BRICK, NJ 08724-3018
(732) 295-6543
Mailing address
120 SISTER PIERRE DR, SUITE 403, TOWSON, MA 21204
(410) 827-6408
(443) 279-0537
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
25MA10657200
NJ
2084P0800X
Psychiatry Physician
D20273
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019
BSDC
—
01
—
096890
MHN
—
01
—
1023561
CIGN
—
01
—
150N131G
MBMD
—
01
—
221073
KAIS
—
01
—
253557
COMP
—
01
—
42225312
BSMD
—
01
—
461905000
MAGE
—
01
—
595882
MAMS
—
01
—
PVPB76641
APS
—
Enumeration date
06/02/2006
Last updated
07/28/2022
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