Individual provider Active NPI

Vandna Prasad Bar, M.D.

  • Diagnostic Radiology Physician
  • Berkeley Heights, NJ
National Provider Identifier
1881836815
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA08443100 Issued in NJ
Practice address
1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone
(908) 277-8673
Fax
(908) 790-6524
NPI assigned
Apr 6, 2009
Last updated
Mar 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MA08443100 NJ Primary

Addresses

Primary practice location

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104

Mailing address

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

Other practice location 1

703 Main St
Paterson, NJ 07503-2621
Phone (973) 569-6300

Other identifiers 1

IdentifierTypeStateIssuer
0195111MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090521000426 NJ Practitioner - Diagnostic Radiology 5991854978 Reassigns benefits to 2 organizations
I20120424000307 NY Practitioner - Diagnostic Radiology 5991854978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Rutgers New Jersey Medical School, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imaging Subspecialists of North Jersey LLCGroup PAC ID 3577558378, 31 clinicians

Practice addresses (Care Compare)

1135 Broad St
Suite 4
Clifton, NJ 07013-3346
Phone (973) 569-6300

212 Canal St
RM 206
New York, NY 10013-4156
Phone (212) 349-5799

703 Main St
Paterson, NJ 07503-2621
Phone (973) 569-2621

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08443100NJMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jersey Diagnostic Imaging, LLC CurrentSince Jan 1, 2023 Accepting new patients
Imaging Subspecialists of North Jersey, LLC Diagnostic Radiology CurrentSince Jul 10, 2013 Accepting new patients
Personal Touch Radiology, LLC Diagnostic Radiology CurrentSince Apr 18, 2016 Accepting new patients
Canal Radiology Associates, P.C. Diagnostic Radiology CurrentSince May 1, 2019 Accepting new patients
Medical Imaging of Teaneck Inc. Past Accepting new patients
Virtual Radiologic Professionals of Texas I, P.a. Diagnostic Radiology Past Accepting new patients
Community Radiology PastSince May 1, 2019 Accepting new patients
Virtual Radiologic Professionals, LLC Diagnostic Radiology Past Accepting new patients

Locations

680 Broadway
Ste 111
Paterson, NJ 07514
Phone (908) 284-2300

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

212 Canal St
Rm 206
New York, NY 10013
Phone (212) 349-5799

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1881836815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL RD",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222104",
            "telephone_number": "908-273-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL RD",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222104",
            "telephone_number": "908-277-8673",
            "fax_number": "908-790-6524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "703 Main St",
            "address_purpose": "LOCATION",
            "city": "Paterson",
            "state": "NJ",
            "postal_code": "075032621",
            "country_code": "US",
            "telephone_number": "973-569-6300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAR",
        "first_name": "VANDNA",
        "middle_name": "PRASAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-06",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA08443100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0195111",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley Heights, NJ

Sources for this page

Verify at the official NPI Registry.