V.D.Bodas, M.D.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

25MA03353800 Issued in NJ

Legal business name

V.D.BODAS, M.D.

Practice address

268 M. L. K. Blvd.
BLDG. B 6TH Floor
Newark, NJ 07102

Phone

(973) 623-0606

Fax

(973) 623-0626

NPI assigned

Sep 25, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Vinayak D Bodas, M.D.

Title

Dr.

Phone

(973) 623-0606

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Vdbodas MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Vinayak D. Bodas

  • Pediatrics Physician
  • Newark, NJ
  • NPI 1356415913
  NPD tax ID

Locations

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

{
    "created_epoch": "1443139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443139200000",
    "number": "1174993752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 M.L.K. BLVD.",
            "address_2": "BUILDING B 6TH FLOOR",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071020211",
            "telephone_number": "973-623-0606",
            "fax_number": "973-623-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 M. L. K. BLVD.",
            "address_2": "BLDG. B 6TH FLOOR",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07102",
            "telephone_number": "973-623-0606",
            "fax_number": "973-623-0626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "V.D.BODAS, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-25",
        "last_updated": "2015-09-25",
        "status": "A",
        "authorized_official_last_name": "BODAS",
        "authorized_official_first_name": "VINAYAK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "973-623-0606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "25MA03353800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1257404",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Saima Usmani
• Brian Uster, RN
• Juliet Uwah
• Constancia Somera Uy, MD
• Loreta Montolo Uy, MD
• Vivek K. Vadehra, M.D.
• Vipul Vadher
• Parth Ashok Vaghani, MD
• Shreya Vakharia
• Mohini Vakil, PHARMD

• Medical Specialty Clinic/Center in Newark, NJ
• Providers in Newark, NJ by specialty
• Medical Specialty Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; 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.