VANI MADDALI MD LLC (NPI# 1073688958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073688958 |
| Entity Type | Organization |
| Organization Name | VANI MADDALI MD LLC |
| Other Organization Name | ESSEX MEDICAL CENTER MD PA |
| Practice Address |
22 Old Short Hills Rd Suite #108 Livingston NJ 07039-5604 |
| Mailing Address |
29 Springfield Ct Parsippany NJ 07054-2943 |
| Practice Telephone | 9735355227 |
| Practice Fax Number | 9735353406 |
| Mailing Telephone | 9733165820 |
| Mailing Fax Number | 9735353406 |
| Enumeration Date | 2006-11-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. VANI MADDALI (M.D) |
| Authorized Official Telephone | 9735355227 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
MA07029100 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 8522600 | 05 |
| Other Name | Type Code |
|---|---|
| Essex Medical Center MD PA | Doing Business As Name - Organization |
| Street Address |
22 OLD SHORT HILLS RD SUITE #108 |
| City | LIVINGSTON |
| State | NJ |
| Zip Code | 07039-5604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477557304 | Alan J Liftin | Dermatology | 22 Old Short Hills Rd, Ste 103, Livingston, NJ 07039-5605 | 2005-06-09 |
| 1558976886 | Christina St. Hillaire | Registered Nurse | 22 Old Short Hills Rd, Livingston, NJ 07039-5604 | 2020-09-14 |
| 1356824387 | Jane Mone | Nurse Practitioner | 22 Old Short Hills Rd, Livingston, NJ 07039-5604 | 2018-09-14 |
| 1326540923 | Goldberg Podiatry Center LLC | Podiatrist | 22 Old Short Hills Rd, Livingston, NJ 07039-5604 | 2018-02-28 |
| 1053769604 | Marilyn Mcarthur Md Pa | Obstetrics & Gynecology | 22 Old Short Hills Rd, Suite 202, Livingston, NJ 07039-5604 | 2016-05-24 |
| 1245646306 | Regional Women's Health Group,,llc | Obstetrics & Gynecology | 22 Old Short Hills Rd, Suite 112, Livingston, NJ 07039-5604 | 2014-07-09 |
| 1710318175 | North Jersey Electrodiagnostics | Electrodiagnostic Medicine | 22 Old Short Hills Rd, Livingston, NJ 07039-5604 | 2013-12-10 |
| 1831529528 | Lee Hindin Md Pllc | Psychiatry & Neurology | 22 Old Short Hills Rd, Suite 217, Livingston, NJ 07039-5604 | 2013-11-18 |
| 1679901789 | Endocrine and Metabolic Specialists, LLC | Internal Medicine | 22 Old Short Hills Rd, Suite # 201, Livingston, NJ 07039-5604 | 2013-10-29 |
| 1548602600 | Mega Healthcare LLC | Clinic/Center | 22 Old Short Hills Rd, Suite 213, Livingston, NJ 07039-5604 | 2013-07-18 |
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| 1326692104 | Amy Beth Lipsey | Social Worker | Amy Lipsey, 301 South Livingston Avenue, Livingston, NJ 07039 | 2019-07-30 |
| 1427543412 | Bodypro Physical Therapy, LLC | Physical Therapist | 5 Country Club Ct, Livingston, NJ 07039 | 2018-06-22 |
| 1538665245 | Kushal Shukla | Student in an Organized Health Care Education/Training Program | 20 Canoe Brook Dr, Livingston, NJ 07039 | 2018-04-02 |
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| 1184154098 | Snf Old Short Hills Operating Company, LLC | Skilled Nursing Facility | 348 East Cedar Street, Livingston, NJ 07039 | 2017-06-13 |
| 1093254690 | Suzanne M Verbesky Dpm LLC | Clinic/Center | 44 West Mcclellan Avenue, Livingston, NJ 07039 | 2017-02-15 |
| 1649723743 | Essex County Weightloss, LLC | Internal Medicine | 5 Regent St Ste 509, Livingston, NJ 07039 | 2016-07-26 |
| 1912352824 | Grant Arzumanov | Student in an Organized Health Care Education/Training Program | 94 Old Short Hills Rd., Livingston, NJ 07039 | 2016-04-28 |
| 1891158671 | Journey's Eve Counseling LLC | Counselor | 2 Northfield Rd, 210a, Livingston, NJ 07039 | 2016-03-30 |
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| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1548602600 | Mega Healthcare LLC | Clinic/Center | 22 Old Short Hills Rd, Suite 213, Livingston, NJ 07039-5604 | 2013-07-18 |
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| City | LIVINGSTON |
| Zip Code | 07039 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.