Individual provider Active NPI

Vijay R Vaswani, MD

  • Clinical Social Worker
  • Pemberton, NJ
National Provider Identifier
1194785956
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SL06624800 Issued in NJ
Practice address
30 Brandywine Rd
Pemberton, NJ 08068-1307
Phone
(484) 515-6125
Fax
(609) 400-4888
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 25MA07284900 NJ
Clinical Social Worker 1041C0700X 44SL06624800 NJ Primary

Addresses

Primary practice location

30 Brandywine Rd
Pemberton, NJ 08068-1307

Mailing address

30 Brandywine Rd
Pemberton, NJ 08068-1307
Phone (484) 515-6125

Other practice location 1

311 White Horse Ave
Suite C
Hamilton, NJ 08610-1411
Phone (609) 585-3900

Other identifiers 8

IdentifierTypeStateIssuer
1000362700OtherAMERICHOICE
2720742OtherAETNA USHC
3319601MedicaidNJ
AMERIGROUPOther60813
1148032OtherHORIZON NJ HEALTH
2009281000OtherAMERIHEALTH/KEYSTONE
2K3779OtherHEALTHNET
P2531958OtherOXFORD HEALTHPLANS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
44SL06624800NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sesolutions, Inc. PastSince Dec 28, 2022 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1194785956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BRANDYWINE RD",
            "city": "PEMBERTON",
            "state": "NJ",
            "postal_code": "080681307",
            "telephone_number": "484-515-6125",
            "fax_number": "609-400-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BRANDYWINE RD",
            "city": "PEMBERTON",
            "state": "NJ",
            "postal_code": "080681307",
            "telephone_number": "484-515-6125",
            "fax_number": "609-400-4888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 White Horse Ave",
            "address_2": "SUITE C",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "NJ",
            "postal_code": "086101411",
            "country_code": "US",
            "telephone_number": "609-585-3900",
            "fax_number": "609-585-3365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VASWANI",
        "first_name": "VIJAY",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA07284900",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL06624800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "1000362700",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA USHC",
            "identifier": "2720742",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3319601",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "60813",
            "identifier": "AMERIGROUP",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "1148032",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH/KEYSTONE",
            "identifier": "2009281000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2K3779",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTHPLANS",
            "identifier": "P2531958",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pemberton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.