KETANKUMAR N VAIDYA (NPI# 1487688586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487688586 |
| Entity Type | Individual |
| Full Name | KETANKUMAR N VAIDYA |
| Credential | MD |
| Practice Address |
2149 Woodbridge Ave Edison NJ 08817-4474 |
| Practice Telephone | 7329852151 |
| Practice Fax Number | 7329850650 |
| Mailing Telephone | 7329852151 |
| Mailing Fax Number | 7329850650 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2007-09-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
MA74514 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 9002707 | 05 |
| Street Address |
2149 WOODBRIDGE AVE |
| City | EDISON |
| State | NJ |
| Zip Code | 08817-4474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326186768 | Tara P. Kanetkar, Md, Pa | Family Medicine | 2149 Woodbridge Ave, Edison, NJ 08817-4474 | 2007-02-01 |
| 1417095845 | Ketankumar Vaidya, LLC | Internal Medicine | 2149 Woodbridge Ave, Edison, NJ 08817-4474 | 2007-02-01 |
| 1043370612 | Tara P Kanetkar | Family Medicine | 2149 Woodbridge Ave, Edison, NJ 08817 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447862750 | Ling Zhu | Pharmacist | 2124 A State Route 27, Edison, NJ 08817 | 2020-08-18 |
| 1912525825 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 Truman Square, Apt 1109, Edison, NJ 08817 | 2020-07-07 |
| 1518582956 | Ismile Dental Care of Edison | Dentist | 1914 B Route 27, Edison, NJ 08817 | 2020-06-11 |
| 1437704905 | Ethel Diagnostic Laboratory | Pathology | 4 Ethel Road, Suite 402a, Edison, NJ 08817 | 2019-08-01 |
| 1316509250 | Hyun Sang Lee | Optometrist | 2210 Route 27 North, Edison, NJ 08817 | 2019-07-01 |
| 1578022851 | Labor of Love Healthcare LLC | Nursing Care | 1967 Lincoln Highway, Suite 33, Edison, NJ 08817 | 2019-03-18 |
| 1932664349 | Marlene Bott | Occupational Therapist | 2035 Lincoln Highway, Edison Square West, Edison, NJ 08817 | 2019-02-11 |
| 1174092928 | Neil Bakhru | Occupational Therapist | 802 Merrywood Drive, Edison, NJ 08817 | 2018-11-21 |
| 1164912697 | Milton Perez | Driver | 14m Reading Rd, Edison, NJ 08817 | 2018-05-10 |
| 1366931891 | Roseanna Perez | Recreation Therapist | 14m Reading Rd., Edison, NJ 08817 | 2018-05-10 |
| Find all providers in zip 08817 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013369461 | Pankaj Gupta | Internal Medicine | 31 Southfield Rd, Edison, NJ 08820-3141 | 2016-07-11 |
| 1598086969 | Jeycare, LLC | Internal Medicine | 43 Rainford Rd, Edison, NJ 08820-2930 | 2010-06-19 |
| 1417095845 | Ketankumar Vaidya, LLC | Internal Medicine | 2149 Woodbridge Ave, Edison, NJ 08817-4474 | 2007-02-01 |
| 1205858149 | Hemant Painter Md Pa | Internal Medicine | 1907 Oak Tree Rd, Suite 101a, Edison, NJ 08820-2070 | 2006-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366983033 | Liberty Med Associates LLC | Internal Medicine | 999 Palmer Ave Ste 1, Holmdel, NJ 07733 | 2017-03-15 |
| 1780091736 | Sukhwinder K. Hundle M.d., P.a. | Internal Medicine | 721 N Beers St Ste 1a, Holmdel, NJ 07733-1500 | 2014-07-22 |
| 1649602897 | David M Lackner | Internal Medicine | 2107 Aqueduct Ln, Cherry Hill, NJ 08002-1932 | 2013-07-30 |
| 1841633369 | Zahava Nilly Brodt | Internal Medicine | 125 Paterson St Ste 2300, New Brunswick, NJ 08901-1962 | 2013-04-15 |
| 1871866632 | Anna H Zezon | Internal Medicine | 197 Cedar Ln Ste 2, Teaneck, NJ 07666-4300 | 2012-02-09 |
| 1760759740 | Ashvini Health Services | Internal Medicine | 2271 State Highway 33 Ste 110, Hamilton, NJ 08690-1749 | 2011-11-19 |
| 1518241934 | Hygiea Healthcare,llc | Internal Medicine | 100 Plainsboro Rd, Plainsboro, NJ 08536-1914 | 2011-10-04 |
| 1578857066 | Raymond Cogen | Internal Medicine | 72 Grange Ave, Fair Haven, NJ 07704-3004 | 2011-06-02 |
| 1871804534 | Medical and Geratric Associate PC | Internal Medicine | 2239 Center Ave, Fort Lee, NJ 07024-6123 | 2010-06-28 |
| 1477884724 | Avi Y Factor | Internal Medicine | 17 Tennyson Pl, Passaic, NJ 07055-4513 | 2010-01-27 |
| 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.