DR. VASANTHI MUDRADI PRABHU (NPI# 1134139801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134139801 |
| Entity Type | Individual |
| Full Name | DR. VASANTHI MUDRADI PRABHU |
| Credential | MD |
| Practice Address |
151 Knolcroft Rd New Jersey Health Care System Lyons NJ 07939 |
| Mailing Address |
151 Knolcroft Rd Lyons NJ 07939 |
| Practice Telephone | 9086470180 |
| Practice Fax Number | 9086045250 |
| Mailing Telephone | 9086470180 |
| Mailing Fax Number | 9086045250 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 25MA04722900 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
151 KNOLCROFT RD NEW JERSEY HEALTH CARE SYSTEM |
| City | LYONS |
| State | NJ |
| Zip Code | 07939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467559070 | Ji Jin Rhew | Psychiatry & Neurology | 151 Knollcroft Rd., Lyons V A M C, Lyons, NJ 07939 | 2006-09-19 |
| 1396855854 | Rajalakshmi Nandakumar | Internal Medicine | Knollcroft Rd, Va Njhcs - Dept Ambulatory Care, Lyons, NJ 07939 | 2006-08-30 |
| 1073535209 | Pui-man Paul Paul Low | Internal Medicine | 151 Knollcroft Rd (561/11e), Extended Care Office, Lyons Va Medical Center, Lyons, NJ 07939 | 2006-07-24 |
| 1437179389 | Roslin Hidayat | Physical Therapist | 151 Knollcroft Rd Bld 19, Apt 18, Lyons, NJ 07939 | 2006-07-20 |
| 1831118215 | Ron Mann | Social Worker | 151 Knollcroft Road, Lyons, NJ 07939 | 2006-07-18 |
| 1326667932 | Laura Smith | Social Worker | 151 Knollcroft Rd, 3rd Floor Bldg 53, Lyons, NJ 07939 | 2020-04-14 |
| 1679921159 | A A Ugele | Nurse Practitioner | 151 Knollcroft Road, Veterans Health Administration, Lyons, NJ 07939 | 2016-05-25 |
| 1972965606 | Chad M Costello | Social Worker | 151 Knollcroft Rd, Lyons, NJ 07939 | 2016-03-22 |
| 1639500960 | Shawna Hinkson | Social Worker | 151 Knollcroft Road, Valley Brook Village, Building A, Lyons, NJ 07939 | 2013-12-12 |
| 1306174669 | Vanjai Kitcharoen | Internal Medicine | 151 Knollcroft Rd., Lyons, NJ 07939 | 2009-11-25 |
| Find all providers in zip 07939 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982791513 | Doyle E Calley | Internal Medicine | 2760 Keefer Hwy, Lyons, MI 48851-9707 | 2006-10-06 |
| 1396855854 | Rajalakshmi Nandakumar | Internal Medicine | Knollcroft Rd, Va Njhcs - Dept Ambulatory Care, Lyons, NJ 07939 | 2006-08-30 |
| 1306174669 | Vanjai Kitcharoen | Internal Medicine | 151 Knollcroft Rd., Lyons, NJ 07939 | 2009-11-25 |
| 1942330584 | Christine Veronica Yarus | Internal Medicine | 151 Knollcroft Rd, Lyons, NJ 07939-5001 | 2007-03-06 |
| 1821199407 | Michael Lin | Internal Medicine | 151 Knollcroft Road, Lyons, NJ 07939 | 2006-09-26 |
| 1639279169 | Beryl E West | Internal Medicine | 151 Knollcroft Rd, Lyons, NJ 07939-5001 | 2006-09-24 |
| 1598874786 | Renuka Kumar | Internal Medicine | 151 Knollcroft Rd, Lyons, NJ 07939-5001 | 2006-08-30 |
| 1093727612 | Dong Gi Hong | Internal Medicine | 12 Leach Rd, Lyons, NY 14489-9732 | 2006-08-12 |
| 1801804034 | Marina M Kovtun | Internal Medicine | 151 Knollcroft Rd, Lyons, NJ 07939-5001 | 2006-08-03 |
| 1457344418 | Maria F Acosta | Internal Medicine | 110 Rt Stanley Sr Pl, Lyons, GA 30436-5623 | 2005-08-25 |
| Find all providers in LYONS | ||||
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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.