Provider Demographics
NPI:1326234527
Name:ASHA VIJAYAKUMAR MD LLC
Entity Type:Organization
Organization Name:ASHA VIJAYAKUMAR MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:VIJAYAKUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-477-7011
Mailing Address - Street 1:35 AVENUE I
Mailing Address - Street 2:
Mailing Address - City:MONROE TWP
Mailing Address - State:NJ
Mailing Address - Zip Code:08831-2215
Mailing Address - Country:US
Mailing Address - Phone:908-477-7011
Mailing Address - Fax:
Practice Address - Street 1:35 AVENUE I
Practice Address - Street 2:
Practice Address - City:MONROE TWP
Practice Address - State:NJ
Practice Address - Zip Code:08831-2215
Practice Address - Country:US
Practice Address - Phone:908-477-7011
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7922818OtherAETNA PPO
NJ0121924Medicaid
NJ1397220OtherAETNA HMO
NJ1397220OtherAETNA HMO