DR. RADHIKA VIJAYAN MD
NPI 1215972179
Pediatrics - Pediatric Emergency Medicine in Hackensack, NJ

Active since June 17, 2006PECOS Enrolled
30 PROSPECT AVE, HACKENSACK, NJ 07601(201) 996-5430 Get Directions Write a Review

NPPES record last updated: February 27, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Radhika Vijayan Md NPPES

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

DR. RADHIKA VIJAYAN MD (NPI 1215972179) is an individual pediatric emergency medicine provider in Hackensack, New Jersey, licensed in New Jersey (MA038106) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215972179
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameDR. RADHIKA VIJAYANCredential: MD
Location Address30 PROSPECT AVEHackensack, NJ 07601-1914
Mailing Address227 Emily DrPark Ridge, NJ 07656-1055
Sole ProprietorYes
Enumeration DateJune 17, 2006
Last NPPES UpdateFebruary 27, 2012
NPI 1215972179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License Licensed in NJ · MA038106
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 149645 (NY)
30 PROSPECT AVE, Hackensack, NJ 07601

Other Identifiers 1

Medicare UPINC52438NJ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Radhika Vijayan Md 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 20

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

Obstetrics & Gynecology (Maternal & Fetal Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Pediatrics (Adolescent Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Nurse Practitioner (Adult Health)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601

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 Radhika Vijayan's NPI number?

The NPI number for Radhika Vijayan is 1215972179. It was assigned to this individual provider in the NPPES registry on June 17, 2006.

Where is Radhika Vijayan located?

Radhika Vijayan practices at 30 Prospect Ave, Hackensack, NJ 07601. The listed phone number is (201) 996-5430.

What is Radhika Vijayan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Radhika Vijayan enrolled in Medicare?

Yes. Radhika Vijayan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Radhika Vijayan was last updated on February 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.