Vaidya Selvan, BDS,DDS, MAGD

Primary specialty

DentistTaxonomy code 122300000X

License

22DI01853000 Issued in NJ

Practice address

28 Throckmorton LN Ste 201
Old Bridge, NJ 08857-2558

Phone

(732) 679-8300

Fax

(732) 334-1080

NPI assigned

Oct 3, 2006

Last updated

Feb 3, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1942395272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 THROCKMORTON LN STE 201",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572558",
            "telephone_number": "732-679-8300",
            "fax_number": "732-334-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 THROCKMORTON LN STE 201",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572558",
            "telephone_number": "732-679-8300",
            "fax_number": "732-334-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELVAN",
        "first_name": "VAIDYA",
        "name_prefix": "Dr.",
        "credential": "BDS,DDS, MAGD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI01853000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Screen for Life Diagnostic Inc
• Joseph Wellen Sedrak, PT
• Seema Nayyar DO, Inc
• Jennifer Seleem
• Alexis Brynn Sellas, MSW, LCSW
• Sensationall Kids NJ-2 LLC
• Serene Mind, LLC
• Bhavna Samveg Shah
• Hardi Shah
• Kavita Shah, OTR/L

• Dentist in Old Bridge, NJ
• Providers in Old Bridge, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; 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.