Organization Active NPI

Dr Kuldip Vaid MD PC

  • Ophthalmology Physician
  • Revere, MA
National Provider Identifier
1205668530
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
DR KULDIP VAID MD PC
Doing business as
Dr Kuldip Vaid MD PC
Practice address
454 Broadway Ste 106
Revere, MA 02151-3050
Phone
(781) 286-5854
Fax
(781) 286-3971
NPI assigned
Aug 15, 2024
Last updated
Aug 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Authorized official

Name
Dr. Kuldip Kumar Vaid, MDNPI 1710978523
Title
President
Phone
(781) 286-5854

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

454 Broadway Ste 106
Revere, MA 02151-3050

Mailing address

454 Broadway Ste 106
Revere, MA 02151-3050
Phone (781) 286-5854

Other names 1

  • DR KULDIP VAID MD PC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kuldip K Vaid 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1205668530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 BROADWAY STE 106",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021513050",
            "telephone_number": "781-286-5854",
            "fax_number": "781-286-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 BROADWAY STE 106",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021513050",
            "telephone_number": "781-286-5854",
            "fax_number": "781-286-3971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR KULDIP VAID MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "VAID",
        "authorized_official_first_name": "KULDIP",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-286-5854",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DR KULDIP VAID MD PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Revere, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.