Active NPI
Vijay R Dandu, M.S.
- Pharmacotherapy Pharmacist
- Jersey City, NJ
National Provider Identifier
1457628703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 28RI02207600
- Practice address
- 119 Ocean Ave
Jersey City, NJ 07305-2500 - Phone
- (201) 432-6968
- Fax
- (201) 432-7004
- NPI assigned
- Nov 30, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 28RI02207600 | NJ | Primary |
Addresses
Primary practice location
119 Ocean Ave
Jersey City, NJ 07305-2500
Mailing address
119 Ocean Ave
Jersey City, NJ 07305-2500
Phone (201) 432-6968
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9092501 | Medicaid | NJ |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI02207600 | NJ | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505606400000",
"number": "1457628703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 OCEAN AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073052500",
"telephone_number": "201-432-6968",
"fax_number": "201-432-7004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 OCEAN AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073052500",
"telephone_number": "201-432-6968",
"fax_number": "201-432-7004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANDU",
"first_name": "VIJAY",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-30",
"last_updated": "2017-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "NJ",
"license": "28RI02207600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9092501",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.