MR. VINAYAK DATTATRAYA BODAS (NPI# 1255871547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255871547 |
| Entity Type | Individual |
| Full Name | MR. VINAYAK DATTATRAYA BODAS |
| Credential | M.D. |
| Practice Address |
268 M.l. King Blvd. Newark NJ 07102 |
| Practice Telephone | 9736230606 |
| Practice Fax Number | 9736230626 |
| Mailing Telephone | 9736230606 |
| Mailing Fax Number | 9736230626 |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-03-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
25MA03353800 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
268 M.L. KING BLVD. |
| City | NEWARK |
| State | NJ |
| Zip Code | 07102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253779 | Integrity, Inc | Clinic/Center | 1091-1093 Broad Street, Newark, NJ 07102 | 2020-10-19 |
| 1881292720 | Oluwaseun Ademulegun | Pharmacist | 1084 Broad Street, Newark, Newark, NJ 07102 | 2020-10-13 |
| 1679042295 | Henry Paul Grayner | Specialist/Technologist | 100 Lock St, Newark, NJ 07102 | 2018-11-14 |
| 1548736838 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 101 Lincoln Park, 2nd Floor, Newark, NJ 07102 | 2018-10-15 |
| 1962981407 | Crystal Kay-baune Mccown | Social Worker | 130 Orange St, Newark, NJ 07102 | 2018-08-07 |
| 1053808865 | Nubi Consultants Corp. Dba Aplus Home Care | Physical Therapist | 11 Franklin Street, 11 Franklin Street, Newark, NJ 07102 | 2018-04-17 |
| 1396249264 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 49 Lincoln Park, Newark, NJ 07102 | 2018-03-23 |
| 1568960896 | Saint James Health Inc | Clinic/Center | 36 Halsey Street, Newark, NJ 07102 | 2018-02-01 |
| 1992216527 | Metropolitan Center for Human Services | Psychologist | 520 Dr. Martin Luther King, Jr. Boulevard, Newark, NJ 07102 | 2017-10-23 |
| 1467974949 | Ahmad Mohammad Tawfiq Damati | Student in an Organized Health Care Education/Training Program | 123 University Ave, Newark, Nj 07102, Newark, NJ 07102 | 2017-07-17 |
| Find all providers in zip 07102 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275907743 | Comprehensive Neurology, P.a. | Psychiatry & Neurology | 537 Stanton Christiana Rd, Suite 106, Newark, DE 19713-2146 | 2015-11-21 |
| 1932499266 | Jeffrey Michael Kornitzer | Psychiatry & Neurology | 90 Bergen St Ste 8100, Room F-603, Newark, NJ 07103-2425 | 2011-04-07 |
| 1245410885 | Anjum Hashim | Psychiatry & Neurology | 201 Lyons Ave, Newark, NJ 07112-2027 | 2007-11-12 |
| 1639375009 | Comprehensive Neurology Center of Delaware | Psychiatry & Neurology | 537 Stanton Christiana Rd, Suite 106, Newark, DE 19713-2146 | 2007-06-22 |
| 1659445013 | Lisa Melanie Ford | Psychiatry & Neurology | 30 Bergen St, Admc 12 1205, Newark, NJ 07107-3000 | 2006-11-20 |
| 1386651099 | Carl Ramses Yacoub | Psychiatry & Neurology | 537 Stanton Christiana Rd, Suite 106, Newark, DE 19713-2146 | 2006-08-02 |
| 1396768651 | Misbah Us Salam | Psychiatry & Neurology | 166 Lyons Ave, Newark, NJ 07112-2016 | 2006-07-26 |
| 1518997659 | Rosario R. Trifiletti | Psychiatry & Neurology | 30 Bergen St, Admc 12 1205, Newark, NJ 07107-3000 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316467640 | Kidsneuro, LLC | Psychiatry & Neurology | 205 Browertown Rd Ste 1, Woodland Park, NJ 07424-2610 | 2017-06-27 |
| 1013306885 | Namita Garg | Psychiatry & Neurology | 7 Bell St, Apartment # 401, Montclair, NJ 07042-2232 | 2015-01-16 |
| 1477895167 | Bridget Anne Leone | Psychiatry & Neurology | 200 S Orange Ave Ste 165, Livingston, NJ 07039 | 2013-03-20 |
| 1700047594 | Vikram Bhise | Psychiatry & Neurology | 89 French St Fl 2, Children's Health Institute of New Jersey, New Brunswick, NJ 08901-1935 | 2008-06-24 |
| 1952526816 | German Laufer | Psychiatry & Neurology | 22 Knutsen Dr, West Orange, NJ 07052-2162 | 2007-04-16 |
| 1215096524 | Neuroscience Assoc Md Pa | Psychiatry & Neurology | 31 Mountain Blvd Bldg A, Warren, NJ 07059-5645 | 2006-12-06 |
| 1700961307 | Beverly Fischer | Psychiatry & Neurology | 4 Chiplou Ln, Scotch Plains, NJ 07076-2204 | 2006-10-25 |
| 1851487193 | Leonid Lev Topper | Psychiatry & Neurology | 34 Mountain Blvd Ste B, Warren, NJ 07059-2640 | 2006-10-05 |
| 1578663738 | Gabor Barabas | Psychiatry & Neurology | 24 Muncy Dr, West Long Branch, NJ 07764-1147 | 2006-09-25 |
| 1477566222 | Rajeshwari Mahalingam | Psychiatry & Neurology | 97 Paterson St, New Brunswick, NJ 08901-2160 | 2006-08-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.