Individual provider Active NPI

Vanil Bhadresh Pandya, MD

  • Vascular Neurology Physician
  • Edison, NJ
National Provider Identifier
1205312279
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
25MA12917600 Issued in NJ
Practice address
65 James St
Edison, NJ 08820-3947
Phone
(732) 321-7000
NPI assigned
Jul 12, 2018
Last updated
Sep 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 25MA12917600 NJ
Neurology Physician 2084N0400X 87301-20 WI
Neurology Physician 2084N0400X 111025 GA
Neurology Physician 2084N0400X MD229005 OR
Neurology Physician 2084N0400X MD70090514 WA
Neurology Physician 2084N0400X 2026011919 MO
Neurology Physician 2084N0400X 01099397A IN
Vascular Neurology Physician 2084V0102X 2026-00988 NC
Vascular Neurology Physician 2084V0102X 25MA12917600 NJ Primary

Addresses

Primary practice location

65 James St
Edison, NJ 08820-3947

Mailing address

262 Morning Glory Dr
Monroe, NJ 08831-5340
Phone (908) 421-1893

Other practice location 1

19300 SW 65th Ave
Tualatin, OR 97062-7706
Phone (503) 413-6166

Other practice location 2

1701 S Creasy Ln
Lafayette, IN 47905-4972
Phone (765) 502-4400

Other practice location 3

262 Morning Glory Dr
Monroe, NJ 08831-5340
Phone (908) 421-1893

Other practice location 4

200 Hawthorne Ln
Charlotte, NC 28204-2515
Phone (704) 384-5416

Other practice location 5

1102 W 32nd St
Joplin, MO 64804-3503
Phone (417) 347-4570

Other practice location 6

99 Beauvoir Ave
Summit, NJ 07901-3533
Phone (908) 522-5545

Other practice location 7

1000 Medical Center Blvd
Lawrenceville, GA 30046-7694
Phone (678) 312-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, GA, NJ, OR, WA, WI, LA, MS8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20231017001958 PA Practitioner - Neurology 4880049436
I20260312003005 GA Practitioner - Neurology 4880049436 Reassigns benefits to 2 organizations
I20260317001220 NJ Practitioner - Neurology 4880049436 Reassigns benefits to 1 organization
I20260417001421 OR Practitioner - Neurology 4880049436 Reassigns benefits to 1 organization
I20260515000672 WA Practitioner - NeurologyPractitioner - Other (Physician) 4880049436 Reassigns benefits to 2 organizations
I20260603002199 WI Practitioner - Neurology 4880049436 Reassigns benefits to 1 organization
I20260624005108 LA Practitioner - Neurology 4880049436
I20260626004711 MS Practitioner - Neurology 4880049436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

99 Beauvoir Ave
Summit, NJ 07902-3533
Phone (908) 522-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
111025GAMDNeurology Physician
25MA12917600NJMDNeurology Physician
MD229005ORMDNeurology Physician
MD70090514WAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Primary Care Professional Services, LLC CurrentSince Apr 20, 2026 Accepting new patients
Lehigh Valley Physician Group CurrentSince Oct 2, 2023 Accepting new patients
North Atlanta Professional Services LLC CurrentSince Apr 20, 2026 Accepting new patients
Practice Associates Medical Group CurrentSince Feb 4, 2026 Accepting new patients
Lehigh Valley Physician Group Neurology Current Accepting new patients
Northside Primary Care Professional Services,LLC CurrentSince Apr 20, 2026 Accepting new patients
Lehigh Valley Physician Group CurrentSince Oct 2, 2023 Accepting new patients

Locations

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

65 James St
Edison, NJ 08820
Phone (732) 321-7010

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

1250 S Cedar Crest Blvd
Ste 405
Allentown, PA 18103
Phone (610) 402-8420

2100 Mack Blvd
Fl 4
Allentown, PA 18103

3701 Corriere Rd
Easton, PA 18045
Phone (484) 591-7000

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1205312279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 MORNING GLORY DR",
            "city": "MONROE",
            "state": "NJ",
            "postal_code": "088315340",
            "telephone_number": "908-421-1893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 JAMES ST",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203947",
            "telephone_number": "732-321-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19300 SW 65th Ave",
            "address_purpose": "LOCATION",
            "city": "Tualatin",
            "state": "OR",
            "postal_code": "970627706",
            "country_code": "US",
            "telephone_number": "503-413-6166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 S Creasy Ln",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479054972",
            "country_code": "US",
            "telephone_number": "765-502-4400",
            "fax_number": "765-502-4401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "262 Morning Glory Dr",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NJ",
            "postal_code": "088315340",
            "country_code": "US",
            "telephone_number": "908-421-1893",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Hawthorne Ln",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282042515",
            "country_code": "US",
            "telephone_number": "704-384-5416",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1102 W 32nd St",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648043503",
            "country_code": "US",
            "telephone_number": "417-347-4570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "99 Beauvoir Ave",
            "address_purpose": "LOCATION",
            "city": "Summit",
            "state": "NJ",
            "postal_code": "079013533",
            "country_code": "US",
            "telephone_number": "908-522-5545",
            "fax_number": "908-522-6147",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300467694",
            "country_code": "US",
            "telephone_number": "678-312-1000",
            "fax_number": "678-312-3282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANDYA",
        "first_name": "VANIL",
        "middle_name": "BHADRESH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-12",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA12917600",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "87301-20",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "111025",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OR",
            "license": "MD229005",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "MD70090514",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2026011919",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01099397A",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "NC",
            "license": "2026-00988",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "NJ",
            "license": "25MA12917600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.