VANDANA RATHOD NP-C
NPI 1386040632
Nurse Practitioner - Family in Hackensack, NJ

Active since November 14, 2014PECOS EnrolledAccepts Medicare Assignment
20 PROSPECT AVE STE 615, HACKENSACK, NJ 07601(551) 996-5870(551) 996-0774 Get Directions Write a Review

NPPES record last updated: November 4, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Vandana Rathod Np-c NPPES

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

VANDANA RATHOD NP-C (NPI 1386040632) is an individual family provider in Hackensack, New Jersey, licensed in New York (338623) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1386040632
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameVANDANA RATHODCredential: NP-C
Location Address20 PROSPECT AVE STE 615Hackensack, NJ 07601-1997
Mailing Address20 Prospect Ave Ste 615Hackensack, NJ 07601-1997 · (551) 996-5870
Fax(551) 996-0774
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateNovember 14, 2014
Last NPPES UpdateNovember 4, 2019
✔ NPI 1386040632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 338623
20 PROSPECT AVE STE 615, Hackensack, NJ 07601

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Vandana Rathod Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325366065
PECOS Enrollment IDI20190831000044
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Vandana Rathod reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
400 FRANK W. BURR BOULEVARD, SUITE 22
Teaneck, NJ 07666
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: Humc Cardiovascular Partners, P.C.
  • 79 clinicians in this Medicare group
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310001
Location30 Prospect AveHackensack, NJ 07601 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

Internal Medicine (Pulmonary Disease)
20 PROSPECT AVE STE 615
HACKENSACK, NJ 07601
Internal Medicine (Gastroenterology)
20 PROSPECT AVE STE 615
HACKENSACK, NJ 07601
Nurse Practitioner (Gerontology)
20 PROSPECT AVE STE 615
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 Vandana Rathod's NPI number?

The NPI number for Vandana Rathod is 1386040632. It was assigned to this individual provider in the NPPES registry on November 14, 2014.

Where is Vandana Rathod located?

Vandana Rathod practices at 20 Prospect Ave Ste 615, Hackensack, NJ 07601. The listed phone number is (551) 996-5870.

What is Vandana Rathod's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Vandana Rathod enrolled in Medicare?

Yes. Vandana Rathod is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Vandana Rathod's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vandana Rathod reassigns Medicare benefits to 2 organizations: Humc Cardiovascular Partners, PC (Teaneck, NJ) and Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vandana Rathod's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vandana Rathod accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Vandana Rathod as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Vandana Rathod affiliated with any hospitals?

According to CMS data, Vandana Rathod is affiliated with Hackensack University Medical Center.

When was this NPI record last updated?

The NPPES record for Vandana Rathod was last updated on November 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.