NPIMap

Individual provider Active NPI

Pranaychandra J Vaidya, M.D., F.A.C.C.

  • Interventional Cardiology Physician
  • Hackensack, NJ
National Provider Identifier
1659322204
Registry record updated Jan 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
25MA03112600 Issued in NJ
Practice address
211 Essex St
Suite 306
Hackensack, NJ 07601-3231
Phone
(201) 343-2050
Fax
(201) 343-4512
NPI assigned
May 16, 2006
Last updated
Jan 6, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 25MA03112600 NJ Primary

Addresses

Primary practice location

211 Essex St
Suite 306
Hackensack, NJ 07601-3231

Mailing address

211 Essex St
Suite 306
Hackensack, NJ 07601-3231
Phone (201) 343-2050

Other names 1

  • Pranay J Vaidya Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050920000425 NJ Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 6406880400 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

211 Essex St
306 Hmhmg Specialty Care
Hackensack, NJ 07601-3245
Phone (201) 343-2050

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
66.38
Promoting interoperability
100
Improvement activities
40
Cost
71.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA03112600NJMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Apr 15, 2010 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Apr 15, 2010 Accepting new patients
Humc Cardiovascular Partners, PC Interventional Cardiology CurrentSince Nov 1, 2010 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Past Accepting new patients

Locations

20 Prospect Ave
Ste 810
Hackensack, NJ 07601
Phone (201) 343-1962

211 Essex St
Hackensack, NJ 07601
Phone (201) 343-2050

211 Essex St
Ste 306
Hackensack, NJ 07601
Phone (201) 343-2050

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD
  • Direct secure messaging: pranaychan.vaidya@direct.hackensackmeridian.org

Ownership & related parties

All facility ownership & control disclosures 14

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hackensack University Medical Center - Psychiatric UnitHackensack, NJ, CCN 31S001 Hospital Corporate Director Jan 1, 2018
Hackensack University Medical CenterHackensack, NJ, CCN 310001 Hospital Corporate Director Jan 1, 2018
Riverview Medical CenterRed Bank, NJ, CCN 310034 Hospital Corporate Director Jan 1, 2023
Bayshore Medical CenterHolmdel, NJ, CCN 310112 Hospital Corporate Director Jan 1, 2023
Ocean University Medical CenterBrick, NJ, CCN 310052 Hospital Corporate Director Jan 1, 2018
Jersey Shore University Medical CenterNeptune, NJ, CCN 310073 Hospital Corporate Director Jan 1, 2018
Southern Ocean Medical CenterManahawkin, NJ, CCN 310113 Hospital Corporate Director Nov 11, 2022
Palisades Medical CenterNorth Bergen, NJ, CCN 310003 Hospital Corporate Director Jan 1, 2018
Raritan Bay Medical CenterPerth Amboy, NJ, CCN 310039 Hospital Corporate Director Jan 1, 2018
Johnson Rehabilitation Institute at Riverview Medical CenterRed Bank, NJ, CCN 31T034 Hospital Corporate Director Nov 11, 2022
Jersey Shore University Medical CenterNeptune, NJ, CCN 31S073 Hospital Corporate Director Jan 1, 2023
Johnson Rehabilitation Institute at Ocean Medical CenterBrick, NJ, CCN 31T052 Hospital Corporate Director Jan 1, 2018
JFK University Medical CenterEdison, NJ, CCN 310108 Hospital Corporate Director Jul 1, 2021
JFK Johnson Rehabilitation InstituteEdison, NJ, CCN 31T108 Hospital Corporate Director Jul 1, 2021

Owned or controlled facilities with NPI records 23

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 23

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 2

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388966400000",
    "number": "1659322204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 ESSEX ST",
            "address_2": "SUITE 306",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076013231",
            "telephone_number": "201-343-2050",
            "fax_number": "201-343-4512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 ESSEX ST",
            "address_2": "SUITE 306",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076013231",
            "telephone_number": "201-343-2050",
            "fax_number": "201-343-4512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAIDYA",
        "first_name": "PRANAYCHANDRA",
        "middle_name": "J",
        "credential": "M.D., F.A.C.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2014-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NJ",
            "license": "25MA03112600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRANAY",
            "last_name": "VAIDYA",
            "middle_name": "J",
            "credential": "M.D., F.A.C.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.