Active NPI
Vimala Devi Nuthakki, M.D.
- Obstetrics & Gynecology Physician
- North Brunswick, NJ
National Provider Identifier
1861741019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 25MA09072900
- Practice address
- 1555 Ruth Rd Ste 5
North Brunswick, NJ 08902-4074 - Phone
- (732) 398-3939
- Fax
- (732) 398-0909
- NPI assigned
- Sep 4, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 25MA09072900 | NJ | Primary |
Addresses
Primary practice location
1555 Ruth Rd Ste 5
North Brunswick, NJ 08902-4074
Mailing address
PO Box 22581
New York, NY 10087-2581
Phone (856) 669-6050
Other practice location 1
666 Plainsboro Rd Ste 316
Plainsboro, NJ 08536-3074
Phone (609) 716-6161
Other practice location 2
1 Ethel Rd Ste 108
Edison, NJ 08817-2838
Phone (732) 662-4300
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vimala.nuthakki@axia.eclinicaldirectplus.com | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Ethel Rd
Suite 108 Haven Women'S Health
Edison, NJ 08817-2838
Phone (732) 398-3939
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA09072900 | NJ | MD | Obstetrics & Gynecology Physician |
Interoperability endpoints
- vimala.nuthakki@axia.eclinicaldirectplus.com
Organizations & group practices 1
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.
-
- Obstetrics & Gynecology Physician
- Voorhees, NJ
- NPI 1548215536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629244800000",
"number": "1861741019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22581",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100872581",
"telephone_number": "856-669-6050",
"fax_number": "856-528-3117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 RUTH RD STE 5",
"city": "NORTH BRUNSWICK",
"state": "NJ",
"postal_code": "089024074",
"telephone_number": "732-398-3939",
"fax_number": "732-398-0909"
}
],
"practiceLocations": [
{
"address_1": "666 Plainsboro Rd Ste 316",
"address_purpose": "LOCATION",
"city": "Plainsboro",
"state": "NJ",
"postal_code": "085363074",
"country_code": "US",
"telephone_number": "609-716-6161",
"fax_number": "732-398-0909",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Ethel Rd Ste 108",
"address_purpose": "LOCATION",
"city": "Edison",
"state": "NJ",
"postal_code": "088172838",
"country_code": "US",
"telephone_number": "732-662-4300",
"fax_number": "732-398-0909",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NUTHAKKI",
"first_name": "VIMALA",
"middle_name": "DEVI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-04",
"last_updated": "2021-08-18",
"certification_date": "2021-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NJ",
"license": "25MA09072900",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vimala.nuthakki@axia.eclinicaldirectplus.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1555 Ruth Rd Ste 5",
"city": "North Brunswick",
"state": "NJ",
"country_code": "US",
"postal_code": "089024074",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in North Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.