| Vasantha Kondamudi, MD | |
|
718 Teaneck Rd, Teaneck, NJ 07666-4245 | |
| (201) 833-3000 | |
| Not Available |
| Full Name | Vasantha Kondamudi |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 41 Years |
| Location | 718 Teaneck Rd, Teaneck, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144238924 | NPI | - | NPPES |
| 01841556 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 205727 (New York) | Secondary |
| 207Q00000X | Family Medicine | 25MA06681100 (New Jersey) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Excelcare Medical Associates Pa | 4284647868 | 197 |
| Entity Name | Excelcare Medical Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992736300 PECOS PAC ID: 4284647868 Enrollment ID: O20060727000044 |
| Mailing Address | Practice Location Address |
|---|---|
| Vasantha Kondamudi, MD 3 University Plz Ste 205, Hackensack, NJ 07601-6208 Ph: (201) 833-3000 | Vasantha Kondamudi, MD 718 Teaneck Rd, Teaneck, NJ 07666-4245 Ph: (201) 833-3000 |
Dr. Ginia Pierre, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 780 Cedar Ln, Valley Health Medical Group, Teaneck, NJ 07666 Phone: 201-836-7664 Fax: 201-836-5710 | |
Ashley Rebecca Voshell, FNP-C Family Medicine Medicare: Medicare Enrolled Practice Location: 718 Teaneck Rd, Teaneck, NJ 07666 Phone: 201-227-6008 | |
Dr. Conrado A Boja Iii, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1182 Teaneck Rd, Teaneck, NJ 07666 Phone: 201-833-9000 Fax: 201-833-9510 | |
Dr. Roberta Nicole Mcneill, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 780 Cedar Lane, Teaneck, NJ 07666 Phone: 201-836-7664 Fax: 201-836-5710 | |
Dr. Michael Conrad Tandayag Boja, D.O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1150 Teaneck Rd, Suite 1, Teaneck, NJ 07666 Phone: 201-833-9000 | |
Dr. Eliane Pottick-schwartz, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 780 Cedar Ln, Teaneck, NJ 07666 Phone: 201-836-7664 Fax: 201-836-5710 |