Individual provider Active NPI

Vasanti J Damle, M.D.

  • Specialist
  • Hoboken, NJ
National Provider Identifier
1114035987
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA042120 Issued in NJ
Practice address
2 Marine View PLZ
Hoboken, NJ 07030-5760
Phone
(201) 420-1715
Fax
(201) 420-1179
NPI assigned
Aug 29, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA042120 NJ Primary

Addresses

Primary practice location

2 Marine View PLZ
Hoboken, NJ 07030-5760

Mailing address

384 Long Hill Dr
Short Hills, NJ 07078-1250
Phone (201) 420-1715

Other identifiers 1

IdentifierTypeStateIssuer
0303003MedicaidNJ

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
I20101221000944 NJ Practitioner - Hematology/OncologyPractitioner - Internal Medicine 2769670512 Practice locations: Hoboken, NJ

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA042120NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Humc Opco LLC Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: vasanti.damle@direct.hobokenumc.md

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114035987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 LONG HILL DR",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070781250",
            "telephone_number": "201-420-1715",
            "fax_number": "201-420-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MARINE VIEW PLZ",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305760",
            "telephone_number": "201-420-1715",
            "fax_number": "201-420-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMLE",
        "first_name": "VASANTI",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA042120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0303003",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

Verify at the official NPI Registry.