Provider Demographics
NPI:1568577146
Name:SWAMY, ALDONIA (MD)
Entity Type:Individual
Prefix:
First Name:ALDONIA
Middle Name:
Last Name:SWAMY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ALDONIA
Other - Middle Name:
Other - Last Name:ALIPIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:400 PERRINE ROAD
Mailing Address - Street 2:SUITE 404
Mailing Address - City:OLDBRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857
Mailing Address - Country:US
Mailing Address - Phone:732-727-3723
Mailing Address - Fax:
Practice Address - Street 1:400 PERRINE ROAD
Practice Address - Street 2:SUITE 404
Practice Address - City:OLDBRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08857
Practice Address - Country:US
Practice Address - Phone:732-727-3723
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2011-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MAO31124002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ455759C2FOtherMEDICAL BILLING NO.
NJ455759Medicare ID - Type Unspecified
D19803Medicare UPIN