Vidhata Genomics LLC

Primary specialty

Clinical Molecular Genetics PhysicianTaxonomy code 207SG0203X

Legal business name

VIDHATA GENOMICS LLC

Practice address

4270 RT 1 North
Monmouth Junction, NJ 08852

Phone

(732) 642-1133

NPI assigned

Sep 13, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Suvas Desai, PHD

Title

Lab Director

Phone

(732) 642-1133

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• VIDHATA GENOMICS Other name

Electronic endpoints 2

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684972800000",
    "number": "1114696101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4270 RT 1 NORTH",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "08852",
            "telephone_number": "732-642-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4270 RT 1 NORTH",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "08852",
            "telephone_number": "732-642-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDHATA GENOMICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-13",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "SUVAS",
        "authorized_official_title_or_position": "LAB DIRECTOR",
        "authorized_official_telephone_number": "732-642-1133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "207SG0203X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Medical Genetics, Clinical Molecular Genetics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1N1364",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4270 RT 1 NORTH",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08852",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "endpointDescription": "PHYSICAL LOCATION",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "DOCUMENTS",
            "address_1": "4270 RT 1 NORTH",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "VIDHATA GENOMICS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Molecular Genetics Physician in Monmouth Junction, NJ
• Providers in Monmouth Junction, NJ by specialty
• Clinical Molecular Genetics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.