| Vinod Sancheti Mdpa | |
|
25 Mule Rd Unit B8 Toms River NJ 08755-5037 | |
| (732) 240-4000 | |
| (732) 240-1441 |
| Full Name | Vinod Sancheti Mdpa |
|---|---|
| Speciality | Family Medicine |
| Location | 25 Mule Rd Unit B8, Toms River, New Jersey |
| Authorized Official Name and Position | Vinod Sancheti (PHYSICIAN) |
| Authorized Official Contact | 7322404000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vinod Sancheti Mdpa 15 Randall Dr Manalapan NJ 07726-8864 Ph: (732) 240-4000 | Vinod Sancheti Mdpa 25 Mule Rd Unit B8 Toms River NJ 08755-5037 Ph: (732) 240-4000 |
| NPI Number | 1891820304 |
|---|---|
| Provider Enumeration Date | 02/23/2007 |
| Last Update Date | 10/16/2009 |
| Medicare PECOS PAC ID | 0244379907 |
|---|---|
| Medicare Enrollment ID | O20091209000562 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891820304 | NPI | - | NPPES |
| 7707401 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MA067792 (New Jersey) | Primary |
| Provider Name | Mathew K Kandathil |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346232097 PECOS PAC ID: 1658394838 Enrollment ID: I20060113000539 |
| Provider Name | Vinod Sancheti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437176088 PECOS PAC ID: 1456490119 Enrollment ID: I20091209000532 |
| Provider Name | Anselma S Gabudao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275932774 PECOS PAC ID: 8022335314 Enrollment ID: I20150325002029 |
| Provider Name | Rafael Raymund Cuesta Guerrero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205525045 PECOS PAC ID: 3274996921 Enrollment ID: I20230828003264 |
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