Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JONATHAN RAMESH VAMADEVA DO
NPI 1063152197
Internal Medicine - Sports Medicine in Wayne, NJ

Q: What is Jonathan Vamadeva's NPI number?

The NPI number for Jonathan Vamadeva is 1063152197. It was assigned to this individual provider in the NPPES registry on March 29, 2022.

Q: What is Jonathan Vamadeva's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sports Medicine, with taxonomy code 207RS0010X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Vamadeva was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 29, 2022PECOS Enrolled

504 VALLEY RD STE 201, WAYNE, NJ 07470(973) 446-7500(973) 554-4922 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 24, 2026, Apr 10, 2026 (2 updates tracked since 2026).

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About Jonathan Ramesh Vamadeva Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN RAMESH VAMADEVA DO (NPI 1063152197) is an individual sports medicine provider in Wayne, New Jersey, licensed in New Jersey (25MB12720800) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063152197

Entity TypeIndividualMale

Primary Taxonomy207RS0010X

Provider Legal NameJONATHAN RAMESH VAMADEVACredential: DO

Location Address504 VALLEY RD STE 201Wayne, NJ 07470-3534

Mailing Address504 Valley Rd Ste 201Wayne, NJ 07470-3534 · (973) 446-7500 · Fax (973) 554-4922

Phone(973) 446-7500

Fax(973) 554-4922

Sole ProprietorNo

Enumeration DateMarch 29, 2022

Last NPPES UpdateJuly 24, 20262 updates tracked since enumeration

NPPES CertifiedJuly 24, 2026

✔ NPI 1063152197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RS0010X

License✔ Licensed in NJ · 25MB12720800

Definition

An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual.

504 VALLEY RD STE 201, Wayne, NJ 07470

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan Ramesh Vamadeva Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHEL ANNE HARTWICK PA-C

Physician Assistant

504 VALLEY RD STE 201
WAYNE, NJ 07470

Passaic County (973) 446-7500

ACADEMY ORTHOPAEDIC GROUP LLC

Orthopaedic Surgery

504 VALLEY RD STE 201
WAYNE, NJ 07470

Passaic County (973) 446-7500

DR. DAVID THOMAS RODRIGUEZ MD

Family Medicine (Sports Medicine)

504 VALLEY RD STE 201
WAYNE, NJ 07470

Passaic County (973) 446-7500

MAX LOUIS WILLINGER

Orthopaedic Surgery

504 VALLEY RD STE 201
WAYNE, NJ 07470

Passaic County (973) 446-7500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Vamadeva's NPI number?

The NPI number for Jonathan Vamadeva is 1063152197. It was assigned to this individual provider in the NPPES registry on March 29, 2022.

Where is Jonathan Vamadeva located?

Jonathan Vamadeva practices at 504 Valley Rd Ste 201, Wayne, NJ 07470. The listed phone number is (973) 446-7500.

What is Jonathan Vamadeva's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sports Medicine, with taxonomy code 207RS0010X.

Is Jonathan Vamadeva enrolled in Medicare?

Yes. Jonathan Vamadeva is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jonathan Vamadeva was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.