Active NPI
Veda Pejaver
- Internal Medicine Physician
- Philadelphia, PA
National Provider Identifier
1659936052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD477517
- Practice address
- 3401 N Broad St
Philadelphia, PA 19140-5103 - Phone
- (215) 707-1622
- Fax
- (215) 707-0943
- NPI assigned
- May 1, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | MD477517 | PA | Primary |
Addresses
Primary practice location
3401 N Broad St
Philadelphia, PA 19140-5103
Mailing address
3500 N Broad St
Philadelphia, PA 19140-4106
Phone (215) 707-2433
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1945 State Hwy 33
Neptune, NJ 07753-4859
Phone (732) 775-5500
Hospital & facility affiliations
- Jersey Shore University Medical Center
- JFK University Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.21 of 100
- Quality
- 49.71
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.23
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Plover Inpatient Services LLC | Internal Medicine | Current | Accepting new patients |
| HMH Hospitals Corporation | Past | Accepting new patients |
Locations
1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100
1140 Route 72 W
Stafford Township, NJ 08050
Phone (609) 978-2194
1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333
425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Montclair, NJ
- NPI 1134534688
Internal Medicine
-
- General Acute Care Hospital
- Neptune, NJ
- NPI 1790297547
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Edison, NJ
- NPI 1144894577
-
- General Acute Care Hospital
- Neptune, NJ
- NPI 1790297547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660608000000",
"number": "1659936052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 N BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191404106",
"telephone_number": "215-707-2433",
"fax_number": "215-707-3677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 N BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191405103",
"telephone_number": "215-707-1622",
"fax_number": "215-707-0943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEJAVER",
"first_name": "VEDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-01",
"last_updated": "2022-08-16",
"certification_date": "2022-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD477517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.