V.D.BODAS, M.D.
NPI 1174993752
Clinic/Center - Medical Specialty in Newark, NJ

Active since September 25, 2015
268 M. L. K. BLVD., BLDG. B 6TH FLOOR, NEWARK, NJ 07102(973) 623-0606(973) 623-0626 Get Directions Write a Review

NPPES record last updated: September 25, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About V.d.bodas, M.d. NPPES

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

V.D.BODAS, M.D. (NPI 1174993752) is a healthcare organization registered as a medical specialty in Newark, New Jersey and active in the NPI registry since September 2015. The organization lists Vinayak D Bodas, Dr., as its authorized official.

NPPES Registry Identity

NPI1174993752
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameV.D.BODAS, M.D.
Location Address268 M. L. K. BLVD., BLDG. B 6TH FLOORNewark, NJ 07102
Mailing Address268 M.l.k. Blvd., Building B 6th FloorNewark, NJ 07102-0211 · (973) 623-0606 · Fax (973) 623-0626
Fax(973) 623-0626
Organization SubpartNo
Authorized OfficialVinayak D BodasDr. · (973) 623-0606
Enumeration DateSeptember 25, 2015
NPI 1174993752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License Licensed in NJ · 25MA03353800
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
268 M. L. K. BLVD., Newark, NJ 07102

Other Identifiers 1

Medicaid1257404NJ

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 V.D.Bodas, M.D.'s NPI number?

The NPI number for V.D.Bodas, M.D. is 1174993752. It was assigned to this organization in the NPPES registry on September 25, 2015.

Where is V.D.Bodas, M.D. located?

V.D.Bodas, M.D. is located at 268 M. L. K. Blvd. Bldg. B 6th Floor, Newark, NJ 07102. The listed phone number is (973) 623-0606.

What is V.D.Bodas, M.D.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for V.D.Bodas, M.D. was last updated on September 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.