NPIMap

Individual provider Active NPI

Vanitha Yadalla, MD

  • Internal Medicine Physician
  • Wall Township, NJ
National Provider Identifier
1093702961
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07674100 Issued in NJ
Practice address
3350 Rte 138 Ste 117
Wall Township, NJ 07719-9694
Phone
(732) 280-2727
NPI assigned
Oct 5, 2005
Last updated
Jul 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA07674100 NJ Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 25MA07674100 NJ
Hypertension Specialist Physician 207RH0005X 25MA07674100 NJ

Addresses

Primary practice location

3350 Rte 138 Ste 117
Wall Township, NJ 07719-9694

Mailing address

3350 Rte 138 Ste 117
Wall Township, NJ 07719-9694
Phone (732) 280-2727

Other names 1

  • Vanitha Seenivasan Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040610000451 NJ Practitioner - Internal Medicine 3779566807 Reassigns benefits to 1 organization
Practice locations: Wall Township, NJ

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3350 Hwy 138
Suite 128
Wall Township, NJ 07719-9694
Phone (732) 280-2727

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07674100NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vanitha Yadalla MD LLC Internal Medicine Current Accepting new patients
Vanitha Yadalla MD LLC Internal Medicine CurrentSince Jun 9, 2024 Accepting new patients

Locations

1729 Belmar Blvd
Wall Township, NJ 07719
Phone (732) 280-2727

3350 State Route 138
Ste 117
Wall Township, NJ 07719
Phone (732) 280-2727

3350 State Route 138
Ste 128
Wall Township, NJ 07719
Phone (732) 280-2727

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19096/brand/1/csg/1/fhir/r4
  • Direct secure messaging: vanitha.yadalla.1@19096.direct.athenahealth.com

Organizations & group practices 2

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 8

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": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1093702961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 RTE 138 STE 117",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077199694",
            "telephone_number": "732-280-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 RTE 138 STE 117",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077199694",
            "telephone_number": "732-280-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YADALLA",
        "first_name": "VANITHA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-05",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07674100",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "25MA07674100",
            "primary": false
        },
        {
            "code": "207RH0005X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hypertension Specialist",
            "state": "NJ",
            "license": "25MA07674100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANITHA",
            "last_name": "SEENIVASAN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wall Township, NJ

Sources for this page

Verify at the official NPI Registry.