Individual provider Active NPI

Vivek T. Das, M.D.

  • Interventional Pain Medicine Physician
  • Hillsborough, NJ
National Provider Identifier
1487684858
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
25MA05994100 Issued in NJ
Practice address
501 Omni Dr
Hillsborough, NJ 08844-4528
Phone
(908) 904-1900
Fax
(908) 904-1908
NPI assigned
Jul 3, 2006
Last updated
May 2, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 25MA05994100 NJ Primary

Addresses

Primary practice location

501 Omni Dr
Hillsborough, NJ 08844-4528

Mailing address

726 Route 202 S. Suite 320-332
Bridgewater, NJ 08807
Phone (908) 904-1900

Other identifiers 1

IdentifierTypeStateIssuer
6497608MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051107000805 NJ Practitioner - Pain ManagementPractitioner - Hospice/Palliative Care 1052338837 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Hospice/Palliative Care
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North East Anesthesia and Pain Associates LLCGroup PAC ID 6305093469, 7 clinicians

Practice addresses (Care Compare)

1700 Route 3 W
FL 2
Clifton, NJ 07013-3928
Phone (908) 904-1900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA05994100NJMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North East Anesthesia & Pain Associates LLC CurrentSince Mar 17, 2018 Accepting new patients
Premier Spine & Pain Management PC Interventional Pain Medicine CurrentSince Jan 9, 2018 Accepting new patients
Premier Spine & Pain Management PC Interventional Pain Medicine CurrentSince Jan 9, 2018 Accepting new patients
Banesthesia Consultants of New Jersey,L.L.C Past Accepting new patients
Nova Pain Management Centers LLC Past Accepting new patients

Locations

1700 Route 3
Fl 2
Clifton, NJ 07013
Phone (908) 904-1900

501 Omni Dr
Hillsborough, NJ 08844
Phone (908) 431-0600

Interoperability endpoints

  • Direct secure messaging: vdas57683@epicdirect.rwjbh.org

Organizations & group practices 5

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335916800000",
    "number": "1487684858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 ROUTE 202 S. SUITE 320-332",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "08807",
            "telephone_number": "908-904-1900",
            "fax_number": "908-904-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 OMNI DR",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444528",
            "telephone_number": "908-904-1900",
            "fax_number": "908-904-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAS",
        "first_name": "VIVEK",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2012-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "25MA05994100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6497608",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NJ

Sources for this page

Verify at the official NPI Registry.