Individual provider Active NPI

Asha J Gandhi, MD

  • Pediatrics Physician
  • Vineland, NJ
National Provider Identifier
1851591085
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA03673500 Issued in NJ
Practice address
Vineland Developmental Center
1676 E. Landis Avenue
Vineland, NJ 08382-1513
Phone
(856) 696-6431
Fax
(856) 794-5803
NPI assigned
Jul 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA03673500 NJ Primary

Addresses

Primary practice location

Vineland Developmental Center
1676 E. Landis Avenue
Vineland, NJ 08382-1513

Mailing address

Vineland Developmental Center
1676 E. Landis Avenue, PO Box 1513
Vineland, NJ 08382-1513
Phone (856) 696-6431

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA03673500NJMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185321600000",
    "number": "1851591085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VINELAND DEVELOPMENTAL CENTER",
            "address_2": "1676 E. LANDIS AVENUE, PO BOX 1513",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083821513",
            "telephone_number": "856-696-6431",
            "fax_number": "856-794-5803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VINELAND DEVELOPMENTAL CENTER",
            "address_2": "1676 E. LANDIS AVENUE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083821513",
            "telephone_number": "856-696-6431",
            "fax_number": "856-794-5803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "ASHA",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA03673500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; 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.