NPIMap

Individual provider Active NPI

Vivek Bansal, M.D., MPH, FACE

  • Endocrinology, Diabetes & Metabolism Physician
  • Edison, NJ
National Provider Identifier
1831369701
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
25MA09883900 Issued in NJ
Practice address
2 Lincoln Hwy Ste 508
Edison, NJ 08820-3961
Phone
(908) 505-2327
Fax
(877) 651-1384
NPI assigned
Mar 7, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 25MA09883900 NJ Primary

Addresses

Primary practice location

2 Lincoln Hwy Ste 508
Edison, NJ 08820-3961

Mailing address

2 Lincoln Hwy Ste 508
Edison, NJ 08820-3961
Phone (908) 505-2327

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vivek.bansal@enlyvclinics.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20150701002361 PA Practitioner - Endocrinology 3173695962 Reassigns benefits to 1 organization
I20171016003061 NJ Practitioner - Internal MedicinePractitioner - Endocrinology 3173695962 Reassigns benefits to 3 organizations
I20260120002355 NJ Practitioner - EndocrinologyPractitioner - Internal Medicine 3173695962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
All Enlyv Clinics LLCGroup PAC ID 9032696281, 4 clinicians
The Enlyv Clinics LLCGroup PAC ID 7113346057, 6 clinicians

Practice addresses (Care Compare)

19 Monroe St
Bridgewater, NJ 08807-3043
Phone (908) 505-2327

2 Lincoln Hwy
Suite 508
Edison, NJ 08820-3961
Phone (908) 505-2327

5 Walter E Foran Blvd
Suite 4000
Flemington, NJ 08822-4675
Phone (908) 505-2327

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hunterdon Medical Center CurrentSince Jun 8, 2018 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
Enlyv Me Inc Endocrinology, Diabetes & Metabolism CurrentSince Dec 24, 2023 Accepting new patients
Hunterdon Specialty Care, PC CurrentSince Aug 12, 2017 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Jul 1, 2015 Accepting new patients
The Enlyv Clinics LLC CurrentSince Oct 1, 2020 Accepting new patients
All Enlyv Clinics LLC Endocrinology, Diabetes & Metabolism CurrentSince Nov 28, 2025 Accepting new patients
St. Luke'S Physician Group, Inc. Endocrinology, Diabetes & Metabolism CurrentSince Jul 1, 2015 Accepting new patients
Hunterdon Specialty Care PC Current Accepting new patients
Hunterdon Medical Center CurrentSince Jun 8, 2018 Accepting new patients
Hunterdon Specialty Care CurrentSince Aug 12, 2017 Accepting new patients

Locations

19 Monroe St
Bridgewater, NJ 08807
Phone (908) 505-2327

1251 US Highway 22
Bridgewater, NJ 08807
Phone (908) 237-4108

2 State Route 27
Ste 508
Edison, NJ 08820
Phone (908) 505-2327

215 State Route 31
#116
Flemington, NJ 08822

5 Walter E Foran Blvd
Ste 4000
Flemington, NJ 08822
Phone (908) 505-2327

121 State Route 31
Ste 1200
Flemington, NJ 08822
Phone (908) 782-0019

3 Minneakoning Rd
Flemington, NJ 08822
Phone (908) 284-1125

28 Wills Way
Piscataway, NJ 08854
Phone (908) 505-2327

908 Oak Tree Ave
Ste R
South Plainfield, NJ 07080
Phone (908) 222-8980

3701 Corporate Pkwy
Ste 130
Center Valley, PA 18034
Phone (610) 419-7300

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Interoperability endpoints

  • Direct secure messaging: vbansal128727@direct-guthrie.org
  • Direct secure messaging: vivek.bansal@telc.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/FCFCCD

Organizations & group practices 11

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1831369701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 LINCOLN HWY STE 508",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203961",
            "telephone_number": "908-505-2327",
            "fax_number": "877-651-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LINCOLN HWY STE 508",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203961",
            "telephone_number": "908-505-2327",
            "fax_number": "877-651-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANSAL",
        "first_name": "VIVEK",
        "name_prefix": "Dr.",
        "credential": "M.D., MPH, FACE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-07",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NJ",
            "license": "25MA09883900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vivek.bansal@enlyvclinics.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2 Lincoln Hwy Ste 508",
            "city": "Edison",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088203961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.