Individual provider Active NPI

Vipreet Janjua, MD

  • Pediatric Gastroenterology Physician
  • Eatontown, NJ
National Provider Identifier
1164088316
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
25MA12672000 Issued in NJ
Practice address
200 Wyckoff Rd Ste 4200
Eatontown, NJ 07724-0199
Phone
(732) 923-6080
NPI assigned
May 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA12672000 NJ
Pediatric Gastroenterology Physician 2080P0206X 25MA12672000 NJ Primary

Addresses

Primary practice location

200 Wyckoff Rd Ste 4200
Eatontown, NJ 07724-0199

Mailing address

116 N Shore Rd
Absecon, NJ 08201-2146
Phone (609) 674-6747

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
I20250902003402 NJ Practitioner - Pediatric Medicine 3779810916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

124 William St
Valley Street, NY 11500

136 N Division St
Apt 515
Buffalo, NY 14203-2239

66 W Gilbert St
Tinton Falls, NJ 07701-4948

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA12672000NJMDPediatric Gastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC CurrentSince Jun 20, 2025 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Jun 20, 2025 Accepting new patients

Locations

200 Wyckoff Rd
Ste 4200
Eatontown, NJ 07724
Phone (732) 923-6080

355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

300 2nd Ave
Ste A5
Long Branch, NJ 07740
Phone (732) 923-7550

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1164088316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 N SHORE RD",
            "city": "ABSECON",
            "state": "NJ",
            "postal_code": "082012146",
            "telephone_number": "609-674-6747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WYCKOFF RD STE 4200",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077240199",
            "telephone_number": "732-923-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANJUA",
        "first_name": "VIPREET",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-14",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA12672000",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "NJ",
            "license": "25MA12672000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

Verify at the official NPI Registry.