Individual provider Active NPI

Vanajakshi Paturu, M.D

  • Geriatric Psychiatry Physician
  • Fair Lawn, NJ
National Provider Identifier
1598876369
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
MA070341 Issued in NJ
Practice address
15-01 Broadway Ste 10B
Fair Lawn, NJ 07410-6006
Phone
(201) 794-7733
Fax
(201) 794-6039
NPI assigned
Aug 31, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X MA070341 NJ Primary

Addresses

Primary practice location

15-01 Broadway Ste 10B
Fair Lawn, NJ 07410-6006

Mailing address

15 La Rosa Dr
Little Ferry, NJ 07643-1724
Phone (201) 229-9589

Other identifiers 1

IdentifierTypeStateIssuer
8787808MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090601000032 TX Practitioner - PsychiatryPractitioner - Other (Physician) 6406957802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1025 E 32ND St
Austin, TX 78705-2714
Phone (512) 544-5253

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA070341NJMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vanaja Associates, M.D., P.a Geriatric Psychiatry CurrentSince Nov 20, 2008 Accepting new patients
Kurra Associates PA PastSince Sep 1, 2016 Accepting new patients
Austin Behavioral Hospital, LLC Past Accepting new patients

Locations

1025 E 32nd St
Austin, TX 78705
Phone (512) 544-4080

Organizations & group practices 4

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1598876369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LA ROSA DR",
            "city": "LITTLE FERRY",
            "state": "NJ",
            "postal_code": "076431724",
            "telephone_number": "201-229-9589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15-01 BROADWAY STE 10B",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074106006",
            "telephone_number": "201-794-7733",
            "fax_number": "201-794-6039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATURU",
        "first_name": "VANAJAKSHI",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NJ",
            "license": "MA070341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8787808",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

Verify at the official NPI Registry.