Active NPI
Vijaya Radhakrishna, MD
- Pediatrics Physician
- Piscataway, NJ
National Provider Identifier
1598838708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MA35224
- Practice address
- 155 Stelton Road
Piscataway, NJ 08804 - Phone
- (732) 752-8442
- Fax
- (732) 752-3937
- NPI assigned
- Nov 16, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MA35224 | NJ | Primary |
Addresses
Primary practice location
155 Stelton Road
Piscataway, NJ 08804
Mailing address
155 Stelton Road
Piscataway, NJ 08804
Phone (732) 752-8442
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA35224 | NJ | MD | Pediatrics Physician |
Interoperability endpoints
- vradhakrishna99280@epicdirect.rwjbh.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598838708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 STELTON ROAD",
"city": "PISCATAWAY",
"state": "NJ",
"postal_code": "08804",
"telephone_number": "732-752-8442",
"fax_number": "732-752-3937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 STELTON ROAD",
"city": "PISCATAWAY",
"state": "NJ",
"postal_code": "08804",
"telephone_number": "732-752-8442",
"fax_number": "732-752-3937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADHAKRISHNA",
"first_name": "VIJAYA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "MA35224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Piscataway, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.