Active NPI
Vijayalaxmi Varadarajan, MD
- Anesthesiology Physician
- Red Bank, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 25MA04110800
- Practice address
- 1 Riverview PLZ
Red Bank, NJ 07701-1864 - Phone
- (732) 741-2700
- NPI assigned
- Jul 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 25MA04110800 | NJ | Primary |
Addresses
Primary practice location
1 Riverview PLZ
Red Bank, NJ 07701-1864
Mailing address
PO Box 297
Manasquan, NJ 08736-0297
Phone (732) 899-0868
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4615204 | Medicaid | NJ |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allied Digestive Health, LLC | Anesthesiology | Current | Accepting new patients |
| Red Bank Anesthesia, LLC | Anesthesiology | Current | Accepting new patients |
| Atlantic Coast Gastroenterology Associates | Past | Accepting new patients |
Locations
365 Broad St
Ste 2E
Red Bank, NJ 07701
Phone (732) 222-3805
1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204
1640 Route 88 W
Ste 202
Wall Township, NJ 08724
Phone (732) 370-2220
187 State Route 36
Ste 230
West Long Branch, NJ 07764
Phone (732) 222-3805
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Gastroenterology Physician
- West Long Beach, NJ
- NPI 1265831259
Anesthesiology
-
- Anesthesiology Physician
- Red Bank, NJ
- NPI 1871764530
-
- Gastroenterology Physician
- Brick, NJ
- NPI 1679512578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114949310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 297",
"city": "MANASQUAN",
"state": "NJ",
"postal_code": "087360297",
"telephone_number": "732-899-0868",
"fax_number": "732-899-5167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 RIVERVIEW PLZ",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077011864",
"telephone_number": "732-741-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARADARAJAN",
"first_name": "VIJAYALAXMI",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MA04110800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4615204",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Red Bank, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.