NPIMap

Organization Active NPI

Vinayak D. Bodas

  • Pediatrics Physician
  • Newark, NJ
National Provider Identifier
1356415913
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
VINAYAK D. BODAS
Practice address
268 Martin Luther King Jr Blvd
Newark, NJ 07102-2011
Phone
(973) 623-0606
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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
Pediatric Neurologist
Phone
(973) 623-0606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

268 Martin Luther King Jr Blvd
Newark, NJ 07102-2011

Mailing address

268 Martin Luther King Jr Blvd
Newark, NJ 07102-2011
Phone (973) 623-0606

Other identifiers 1

IdentifierTypeStateIssuer
1257404-01MedicaidNJ

National Provider Directory

National Provider Directory
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.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1356415913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 MARTIN LUTHER KING JR BLVD",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022011",
            "telephone_number": "973-623-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 MARTIN LUTHER KING JR BLVD",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022011",
            "telephone_number": "973-623-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINAYAK D. BODAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "BODAS",
        "authorized_official_first_name": "VINAYAK",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PEDIATRIC NEUROLOGIST",
        "authorized_official_telephone_number": "973-623-0606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1257404-01",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.