Provider Demographics
NPI:1619035037
Name:SINHA, VINOD K (MD)
Entity Type:Individual
Prefix:DR
First Name:VINOD
Middle Name:K
Last Name:SINHA
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 1:260 HOBART ST
Mailing Address - Street 2:
Mailing Address - City:PERTH AMBOY
Mailing Address - State:NJ
Mailing Address - Zip Code:08861-4311
Mailing Address - Country:US
Mailing Address - Phone:732-442-6464
Mailing Address - Fax:732-442-6367
Practice Address - Street 1:260 HOBART ST
Practice Address - Street 2:
Practice Address - City:PERTH AMBOY
Practice Address - State:NJ
Practice Address - Zip Code:08861-4311
Practice Address - Country:US
Practice Address - Phone:732-442-6464
Practice Address - Fax:732-442-6367
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05354800207RP1001X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0586609Medicaid
NJC08755Medicare UPIN
NJ0586609Medicaid