Individual provider Active NPI

Rahul Vemula, MD

  • Plastic Surgery Physician
  • West Long Branch, NJ
National Provider Identifier
1053572024
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
25MA09861800 Issued in NJ
Practice address
107 Monmouth Rd Ste 201
West Long Branch, NJ 07764-1021
Phone
(732) 963-0809
Fax
(732) 963-0814
NPI assigned
Jun 22, 2008
Last updated
Dec 30, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 25MA09861800 NJ Primary

Addresses

Primary practice location

107 Monmouth Rd Ste 201
West Long Branch, NJ 07764-1021

Mailing address

107 Monmouth Rd Ste 201
West Long Branch, NJ 07764-1021
Phone (732) 963-0809

Other names 1

  • Rahul Vemula Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drvemula@vipplasticsurgerynj.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160919000869 NJ Practitioner - Plastic and Reconstructive Surgery 0547557613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

107 Monmouth Rd
Suite 201
West Long Branch, NJ 07764-1021
Phone (732) 963-0809

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy18
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA09861800NJMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vip Plastic Surgery Plastic Surgery CurrentSince Aug 1, 2020 Accepting new patients

Locations

107 Monmouth Rd
Ste 201
West Long Branch, NJ 07764
Phone (732) 481-2595

Interoperability endpoints

  • Direct secure messaging: drvemula@vipplasticsurgerynj.com
  • Direct secure messaging: rvemula425534@direct.ahsys.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1053572024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 MONMOUTH RD STE 201",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641021",
            "telephone_number": "732-963-0809",
            "fax_number": "733-963-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 MONMOUTH RD STE 201",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641021",
            "telephone_number": "732-963-0809",
            "fax_number": "732-963-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEMULA",
        "first_name": "RAHUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-22",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MA09861800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drvemula@vipplasticsurgerynj.com",
            "affiliation": "N",
            "endpointDescription": "HIPPA Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "107 Monmouth Rd Ste 201",
            "city": "West Long Branch",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077641021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "RAHUL",
            "last_name": "VEMULA",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in West Long Branch, NJ

Sources for this page

Verify at the official NPI Registry.