MAYILATHAL VASUDEVAN (NPI# 1720607260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720607260 |
| Entity Type | Individual |
| Full Name | MAYILATHAL VASUDEVAN |
| Practice Address |
750 Brunswick Ave Trenton NJ 08638-4143 |
| Mailing Address |
1 Vaccaro Rd Lawrenceville NJ 08648-1324 |
| Practice Telephone | 6093946057 |
| Mailing Telephone | 6092138902 |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2020-04-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WN0800X |
Registered Nurse Specialization: Neuroscience |
26NRI4696700 | NJ | Nursing Service Providers |
| Street Address |
750 BRUNSWICK AVE |
| City | TRENTON |
| State | NJ |
| Zip Code | 08638-4143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568465656 | Kelly M. Laverdure | Family Medicine | 750 Brunswick Ave, Trenton, NJ 19178-8567 | 2005-05-23 |
| 1477153450 | Thomas Wieczenski | Registered Nurse | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2020-10-28 |
| 1487252979 | Ashley Yeh | Pharmacist | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2020-10-15 |
| 1821604380 | Steven Chen | Pharmacist | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2020-09-21 |
| 1669081063 | Reena R Concepcion | Pharmacist | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2020-07-31 |
| 1851915649 | Matthew M Rydlewski Jr. | Emergency Medicine | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2020-06-08 |
| 1518588243 | Sally Johnson | Registered Nurse | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2020-05-05 |
| 1356961882 | Maksym Palii | Student in an Organized Health Care Education/Training Program | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2020-04-24 |
| 1669092250 | Amy Theresa Pulikeyil | Student in an Organized Health Care Education/Training Program | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2020-04-23 |
| 1770102766 | Ruth Graciela Ramon Tapia | Student in an Organized Health Care Education/Training Program | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2020-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114493244 | Dungarvin New Jersey, LLC - Whitehead II | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1015 Whitehead Road Extension, Apt 209 & 217, Ewing, NJ 08638 | 2018-10-16 |
| 1285145714 | Lifeties Inc. | Social Worker | 2205 Pennington Road, Trenton, NJ 08638 | 2017-10-24 |
| 1720502792 | Rola Behavioral Services LLC | Registered Nurse | 1676 North Olden Ave, Bldg 1, Ewing, NJ 08638 | 2017-08-01 |
| 1295264562 | Ijeoma Audrey Okpara | Behavior Technician | 67 Oak Street, Trenton, NJ 08638 | 2017-06-08 |
| 1962878736 | Meals On Wheels of Mercer County, Inc. | Home Delivered Meals | 320 Hollowbrook Drive, Ewing, NJ 08638 | 2015-08-17 |
| 1770917031 | Erica Jane Mclaughlin | Physician Assistant | 750 Bruinswick Ave, Trenton, NJ 08638 | 2013-08-22 |
| 1396013975 | Capital Health | General Acute Care Hospital | 832 Brunswick Ave., Trenton, NJ 08638 | 2011-12-09 |
| 1174800197 | Kashif Syed Anwar | Family Medicine | 1450 Parkside Ave Ste 5, Ewing, NJ 08638 | 2011-11-04 |
| 1235394578 | Neuromechanical Pain Management Associates PC | Chiropractor | 1330 Calhoun Street, Suite 2, Trenton, NJ 08638 | 2008-07-25 |
| 1861684185 | Youth Education and Transition Services | Counselor | 702 Brunswick Ave, Trenton, NJ 08638 | 2007-08-10 |
| Find all providers in zip 08638 | ||||
| Taxonomy Code | 163WN0800X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Neuroscience |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376099481 | Teresa Glover | Registered Nurse | 110 Harbor Ln, Somers Point, NJ 08244-2470 | 2016-08-29 |
| 1013366475 | Bonnie Macrina | Registered Nurse | 110 Harbor Ln, Somers Point, NJ 08244-2470 | 2016-06-07 |
| 1588065445 | Maddie Dalgliesh | Registered Nurse | 1 Capital Way, Pennington, NJ 08534-2520 | 2014-09-10 |
| 1851723464 | Catherine Jacqueline Loughrey | Registered Nurse | 1945 Route 33, Neptune, NJ 07753-4859 | 2013-08-06 |
| 1598976995 | Margaret B Black | Registered Nurse | 501 Route 9, Waretown, NJ 08758-1743 | 2007-05-25 |
| 1184846826 | Linda Brusseau Goldenberg | Registered Nurse | 224 Hamburg Tpke, Wayne, NJ 07470-2111 | 2007-05-03 |
| 1043260581 | Theresa M Gabay | Registered Nurse | 20 Prospect Ave, Suite 800, Hackensack, NJ 07601-1997 | 2006-05-12 |
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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.