Vani Maddali MD LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MA07029100 Issued in NJ

Legal business name

VANI MADDALI MD LLC

Practice address

22 Old Short Hills Rd
Suite #108
Livingston, NJ 07039-5604

Phone

(973) 535-5227

Fax

(973) 535-3406

NPI assigned

Nov 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Vani Maddali, M.D

Title

M.D

Phone

(973) 535-5227

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Essex Medical Center MD PA Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Barbara Faresich, NP

  • Nurse Practitioner
  • Berkeley Heights, NJ
  • NPI 1316025646
  NPD (past)

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

{
    "created_epoch": "1164240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073688958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 SPRINGFIELD CT",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070542943",
            "telephone_number": "973-316-5820",
            "fax_number": "973-535-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 OLD SHORT HILLS RD",
            "address_2": "SUITE #108",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395604",
            "telephone_number": "973-535-5227",
            "fax_number": "973-535-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANI MADDALI MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MADDALI",
        "authorized_official_first_name": "VANI",
        "authorized_official_title_or_position": "M.D",
        "authorized_official_telephone_number": "973-535-5227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "MA07029100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8522600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Essex Medical Center MD PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erica Valeri
• Valhalla Wellness LLC
• Michael Vallee, D.O.
• Vanguard Periodontal & Implant Associates, LLC
• Kamtorn Vangvanichyakorn, MD
• Felisa V. Vanliew
• Joanne R Vannest, PH.D.
• Karen Rae Vanvarick-McGuire, NP
• Harry S Vanwagenen, PA-C
• Jessica Vargas

• Primary Care Clinic/Center in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Primary Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.