Individual provider Active NPI

Ajanta Sanjay Vinekar, MD

  • Geriatric Psychiatry Physician
  • North Brunswick, NJ
National Provider Identifier
1780792929
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
25MA52053 Issued in NJ
Practice address
1445 Rte 130 South
North Brunswick, NJ 08902
Phone
(732) 940-9444
Fax
(732) 821-1449
NPI assigned
Aug 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 25MA52053 NJ Primary

Addresses

Primary practice location

1445 Rte 130 South
North Brunswick, NJ 08902

Mailing address

11 Brookside CT
Cranbury, NJ 08512
Phone (609) 731-7826

Other identifiers 1

IdentifierTypeStateIssuer
3673707MedicaidNJ

Other names 1

  • Ajanta Skarad Taggarse Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040429000222 NJ Practitioner - Psychiatry 6709873904 Practice locations: Plainsboro, NJ

Care Compare profile

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

Practice addresses (Care Compare)

11 Brookside CT
Cranbury, NJ 08512-2103

666 Plainsboro Rd
Suite 212
Plainsboro, NJ 08536-3004
Phone (609) 936-9444

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA52053NJMDGeriatric Psychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780792929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BROOKSIDE CT",
            "city": "CRANBURY",
            "state": "NJ",
            "postal_code": "08512",
            "telephone_number": "609-731-7826",
            "fax_number": "609-897-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 RTE 130 SOUTH",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "08902",
            "telephone_number": "732-940-9444",
            "fax_number": "732-821-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINEKAR",
        "first_name": "AJANTA",
        "middle_name": "SANJAY",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NJ",
            "license": "25MA52053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3673707",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AJANTA",
            "last_name": "TAGGARSE",
            "middle_name": "SKARAD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.