Individual provider Active NPI

Vivek Mohan, MD

  • Internal Medicine Physician
  • Lindenwold, NJ
National Provider Identifier
1811631773
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA12686100 Issued in NJ
Practice address
657 Blackwood Clementon Rd
Lindenwold, NJ 08021-5903
Phone
(856) 566-8325
NPI assigned
Apr 26, 2022
Last updated
Feb 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA12686100 NJ Primary

Addresses

Primary practice location

657 Blackwood Clementon Rd
Lindenwold, NJ 08021-5903

Mailing address

657 Blackwood Clementon Rd
Lindenwold, NJ 08021-5903

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
I20250623000316 NJ Practitioner - Internal Medicine 4284146754 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Drexel University College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sciometrix IncGroup PAC ID 9335511443, 46 clinicians

Practice addresses (Care Compare)

5600 John Fitzgerald Kennedy Blvd
West New York, NJ 07093-3529
Phone (860) 335-5064

657 Blackwood Clementon Rd
Lindenwold, NJ 08021-5903
Phone (856) 566-8325

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
VMD Healthcare LLC Internal Medicine CurrentSince May 17, 2025 Accepting new patients
Sciometrix Inc CurrentSince Nov 15, 2025 Accepting new patients
Sciometrix LLC PastSince Oct 10, 2021 Accepting new patients

Locations

306 S Washington Ave
Ste 600
Royal Oak, MI 48067

657 Blackwood Clementon Rd
Lindenwold, NJ 08021
Phone (856) 566-8325

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1811631773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 BLACKWOOD CLEMENTON RD",
            "city": "LINDENWOLD",
            "state": "NJ",
            "postal_code": "080215903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 BLACKWOOD CLEMENTON RD",
            "city": "LINDENWOLD",
            "state": "NJ",
            "postal_code": "080215903",
            "telephone_number": "856-566-8325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAN",
        "first_name": "VIVEK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-26",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA12686100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindenwold, NJ

Sources for this page

Verify at the official NPI Registry.