Provider Demographics
NPI:1235124694
Name:VASWANI, RANI V (MD)
Entity Type:Individual
Prefix:DR
First Name:RANI
Middle Name:V
Last Name:VASWANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 W GILBERT ST
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-4918
Mailing Address - Country:US
Mailing Address - Phone:732-212-0060
Mailing Address - Fax:732-212-0061
Practice Address - Street 1:300 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-2819
Practice Address - Country:US
Practice Address - Phone:973-672-8400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2010-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04161600207R00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0735604Medicaid
NJP00642496OtherRAILROAD MEDICARE
NJ28435OtherUHP NON PAR #
NJ445952ZBL2Medicare PIN
NJ445952TM8Medicare PIN
NJ0735604Medicaid
NJP00642496OtherRAILROAD MEDICARE
NJ445952UWXMedicare PIN
NJ445952MK5Medicare PIN
NJ445952UWYMedicare PIN
NJC54779Medicare UPIN