Vanitha Yadalla (NPI# 1093702961, PAC ID# 3779566807) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1093702961 |
PAC ID by PECOS | 3779566807 |
Professional Enrollment ID | I20040610000451 |
Full Name | Vanitha Yadalla |
Address |
3550 Hwy 138 128 Bldg 2 Wall Township NJ 07719-9694 |
Phone Number | 7322802727 |
Gender | F |
Credential | MD |
Graduation Year | 1998 |
Primary Specialty | INTERNAL MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
310073 | JERSEY SHORE UNIVERSITY MEDICAL CENTER |
310052 | OCEAN MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
3550 Hwy 138 128, Bldg 2, Wall Township, NJ 07719-9694 | 7322802727 |
Street Address |
3550 HWY 138 128 BLDG 2 |
City | WALL TOWNSHIP |
State | NJ |
Zip | 07719-9694 |
Name | Specialty | Organization | Address |
---|---|---|---|
Joan Ellazar | Physical Therapy | Fox Rehabilitation Services Inc | 1983 Hwy 34 S, Wall, NJ 07719 |
Marvin A Lawson | Occupational Therapy | Fox Rehabilitation Services Inc | 1983 Hwy 34 S, Wall, NJ 07719 |
Shannon Bertsch | Occupational Therapy | Fox Rehabilitation Services Inc | 1983 Hwy 34 S, Wall, NJ 07719 |
Ronelio B Benedicto | Physical Therapy | Fox Rehabilitation Services Inc | 1983 Hwy 34 S, Wall, NJ 07719 |
Carrie L Kass | Physical Therapy | Fox Rehabilitation Services Inc | 1983 Hwy 34 S, Wall, NJ 07719 |
Jean Marie Pinto | Speech Language Pathologist | Fox Rehabilitation Services Inc | 1983 Hwy 34 S, Wall, NJ 07719 |
Hui Wong | Physical Therapy | Fox Rehabilitation Services Inc | 1983 Hwy 34 S, Wall, NJ 07719 |
Emilia Annaruma | Speech Language Pathologist | Fox Rehabilitation Services Inc | 1983 Hwy 34 S, Wall, NJ 07719 |
Musola Ninilola Alfred Oniyide | Physical Therapy | Fox Rehabilitation Services Inc | 1983 Hwy 34 S, Wall, NJ 07719 |
Alyssa J Caprara | Chiropractic | Monmouth Pain and Rehabilitation PC | 1985 Hwy 34 S 6a, Bldg A, Wall, NJ 07719-1000 |
Find all physicians in zip 07719 |
City | WALL TOWNSHIP |
Zip Code | 07719 |
Specialty | INTERNAL MEDICINE |
City + Specialty | WALL TOWNSHIP + INTERNAL MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.