Active NPIIndividual providerSole proprietor

Mayilathal Vasudevan, NP

Nurse Practitioner, Family in Lawrenceville, New Jersey

NPI Number1720607260
Practice location
3140 Princeton Pike Fl 2, Lawrenceville, NJ 08648-2330
Fax
609-895-2900
Last updated
June 22, 2022

Mayilathal Vasudevan is a Nurse Practitioner, Family based in Lawrenceville, NJ. Mayilathal Vasudevan practices in Lawrenceville, NJ and has the professional credentials of NP. The NPI Number for Mayilathal Vasudevan is 1720607260 and holds a License No. 26nri4696700 (NJ). The current practice location address for Mayilathal Vasudevan is 3140 Princeton Pike Fl 2, Lawrenceville, NJ 08648-2330 and can be reached out via phone at 609-895-1919 and via fax at 609-895-2900.

Provider Profile Details

NPI Number
1720607260
Provider Name
Mayilathal Vasudevan
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
3140 Princeton Pike Fl 2, Lawrenceville, NJ 08648-2330
Phone Number
609-895-1919
Fax Number
609-895-2900
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
April 14, 2020
Last Update Date
June 22, 2022
Certification Date
June 22, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
3140 Princeton Pike Fl 2
Lawrenceville, NJ 08648-2330
Zip
08648-2330
Phone Number
609-895-1919
Fax Number
609-895-2900
Lawrenceville, NJ 08648Get directions →

Provider Business Mailing Address Details

Address
1 Vaccaro RD
Lawrenceville, NJ 08648-1324
City
Lawrenceville
State
NJ
Zip
08648-1324
Phone Number
609-213-8902

License Information

License Number (1)
26nri4696700
License State (1)
NJ
Taxonomy (1)
Registered Nurse, Neuroscience · 163WN0800X
License Number (2)
26NJ01240200
License State (2)
NJ
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Mayilathal Vasudevan, NP?

The NPI number of Mayilathal Vasudevan, NP is 1720607260. It was assigned on April 14, 2020 and is currently active in the NPPES registry.

What is the specialty of Mayilathal Vasudevan, NP?

Mayilathal Vasudevan, NP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26nri4696700.

Where does Mayilathal Vasudevan, NP practice?

The practice location is 3140 Princeton Pike Fl 2, Lawrenceville, NJ 08648-2330. The office can be reached at 609-895-1919 (phone) or 609-895-2900 (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 1720607260 directly on the NPPES registry website.

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