Individual provider Active NPI

Vani Bhavani Andavolu, MD

  • Physical Medicine & Rehabilitation Physician
  • Toms River, NJ
National Provider Identifier
1710910039
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
25MA05450300 Issued in NJ
Practice address
99 Route 37 W
Toms River, NJ 08755-6423
Phone
(732) 557-2270
Fax
(732) 557-2271
NPI assigned
Jul 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 25MA05450300 NJ Primary

Addresses

Primary practice location

99 Route 37 W
Toms River, NJ 08755-6423

Mailing address

19 Legacy CT
Freehold, NJ 07728-9286
Phone (609) 651-2337

Other practice location 1

253 Witherspoon St
Princeton, NJ 08540-3211
Phone (609) 497-3022

Other practice location 2

14 Hospital Dr
Toms River, NJ 08755-6402
Phone (732) 505-5095

Other identifiers 1

IdentifierTypeStateIssuer
7227604MedicaidNJ

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA05450300NJMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harish K Bhatt, MD, PA Physical Medicine & Rehabilitation Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1710910039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 LEGACY CT",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077289286",
            "telephone_number": "609-651-2337",
            "fax_number": "609-964-1982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 ROUTE 37 W",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556423",
            "telephone_number": "732-557-2270",
            "fax_number": "732-557-2271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "253 Witherspoon St",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "NJ",
            "postal_code": "085403211",
            "country_code": "US",
            "telephone_number": "609-497-3022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Toms River",
            "state": "NJ",
            "postal_code": "087556402",
            "country_code": "US",
            "telephone_number": "732-505-5095",
            "fax_number": "732-818-4832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDAVOLU",
        "first_name": "VANI",
        "middle_name": "BHAVANI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA05450300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7227604",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.