Active NPI
Vanaja Associates MD,P.C
- Psychiatry Physician
- Fair Lawn, NJ
National Provider Identifier
1740407600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MA070341
- Legal business name
- VANAJA ASSOCIATES MD,P.C
- Practice address
- 15-01 Broadway
Suite 10 - B
Fair Lawn, NJ 07410-6003 - Phone
- (201) 794-7733
- Fax
- (201) 794-6039
- NPI assigned
- Apr 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Vanajakshi Paturu, M.D.,
- Title
- Attending Physician
- Phone
- (201) 952-3377
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MA070341 | NJ | Primary |
Addresses
Primary practice location
15-01 Broadway
Suite 10 - B
Fair Lawn, NJ 07410-6003
Mailing address
15 La Rosa Dr
Little Ferry, NJ 07643-1724
Phone (201) 229-9589
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8787808 | Medicaid | NJ |
Other names 1
- kurra Associates
National Provider Directory
National Provider DirectoryLocations
3161 Kennedy Blvd
North Bergen, NJ 07047
Phone (201) 867-3585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1740407600",
"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",
"address_2": "SUITE 10 - B",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074106003",
"telephone_number": "201-794-7733",
"fax_number": "201-794-6039"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VANAJA ASSOCIATES MD,P.C",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PATURU",
"authorized_official_first_name": "VANAJAKSHI",
"authorized_official_title_or_position": "ATTENDING PHYSICIAN",
"authorized_official_telephone_number": "201-952-3377",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D.,"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "MA070341",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8787808",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "kurra Associates",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Fair Lawn, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.