V.d.bodas, M.d.
Clinic/Center, Medical Specialty in Newark, New Jersey
1174993752- Practice location
- 268 M. L. K. Blvd., Bldg. B 6TH Floor, Newark, NJ 07102
- Phone
- 973-623-0606
- Fax
- 973-623-0626
- Last updated
- September 25, 2015
V.d.bodas, M.d. is a healthcare organization based in Newark, NJ. V.d.bodas, M.d. practices in Newark, NJ. The NPI Number for V.d.bodas, M.d. is 1174993752 and holds a License No. 25MA03353800 (NJ). The current practice location address for V.d.bodas, M.d. is 268 M. L. K. Blvd., Bldg. B 6TH Floor, Newark, NJ 07102 and can be reached out via phone at 973-623-0606 and via fax at 973-623-0626.
Provider Profile Details
- NPI Number
- 1174993752
- Provider Name
- V.d.bodas, M.d.
- Provider Entity Type
- Organization
- Address
- 268 M. L. K. Blvd., Bldg. B 6TH Floor, Newark, NJ 07102
- Phone Number
- 973-623-0606
- Fax Number
- 973-623-0626
- Primary Taxonomy
- Clinic/Center, Medical Specialty · 261QM2500X
- Organization Subpart
- No
- Authorized Official
- Dr. Vinayak D Bodas, MD · Dr. · 973-623-0606
- Provider Enumeration Date
- September 25, 2015
- Last Update Date
- September 25, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 268 M. L. K. Blvd.
Bldg. B 6TH Floor
Newark, NJ 07102 - City
- Newark
- State
- New Jersey
- Zip
- 07102
- Phone Number
- 973-623-0606
- Fax Number
- 973-623-0626
Provider Business Mailing Address Details
- Address
- 268 M.l.k. Blvd.
Building B 6TH Floor
Newark, NJ 07102-0211 - City
- Newark
- State
- NJ
- Zip
- 07102-0211
- Phone Number
- 973-623-0606
- Fax Number
- 973-623-0626
License Information
- License Number
- 25MA03353800
- License State
- NJ
- Taxonomy
- Clinic/Center, Medical Specialty · 261QM2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of V.d.bodas, M.d.?
The NPI number of V.d.bodas, M.d. is 1174993752. It was assigned on September 25, 2015 and is currently active in the NPPES registry.
What is the specialty of V.d.bodas, M.d.?
V.d.bodas, M.d. is registered under the primary taxonomy Clinic/Center, Medical Specialty (code 261QM2500X), licensed in NJ under license number 25MA03353800.
Where does V.d.bodas, M.d. practice?
The practice location is 268 M. L. K. Blvd., Bldg. B 6TH Floor, Newark, NJ 07102. The office can be reached at 973-623-0606 (phone) or 973-623-0626 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174993752 directly on the NPPES registry website.