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DR. MAHADEVAN G KRISHNAN MD
NPI 1699849620
Surgery - Vascular Surgery in Lakewood, NJ

Active since November 20, 2006
609 RIVER AVE, LAKEWOOD, NJ 08701(732) 901-8822(732) 367-2897 Get Directions Write a Review

NPPES record last updated: October 26, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mahadevan G Krishnan Md NPPES

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

DR. MAHADEVAN G KRISHNAN MD (NPI 1699849620) is an individual vascular surgery provider in Lakewood, New Jersey, licensed in New Jersey (25MA045854) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1699849620
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameDR. MAHADEVAN G KRISHNANCredential: MD
Location Address609 RIVER AVELakewood, NJ 08701-5227
Mailing Address609 River AveLakewood, NJ 08701-5227 · (732) 901-8822 · Fax (732) 367-2897
Phone(732) 901-8822
Fax(732) 367-2897
Sole ProprietorNo
Enumeration DateNovember 20, 2006
Last NPPES UpdateOctober 26, 2012
✔ NPI 1699849620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in NJ · 25MA045854
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
609 RIVER AVE, Lakewood, NJ 08701
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINC60258NJ
Medicare ID-Type Unspecified542526NJ
Medicare PIN255389SWBNJ

Other Providers at the Same Location NPPES

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

MAHADEVAN G KRISHNAN, MD PC
Surgery (Vascular Surgery)
609 RIVER AVE
LAKEWOOD, NJ 08701
Ocean County (732) 901-8822

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 Mahadevan Krishnan's NPI number?

The NPI number for Mahadevan Krishnan is 1699849620. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Mahadevan Krishnan located?

Mahadevan Krishnan practices at 609 River Ave, Lakewood, NJ 08701. The listed phone number is (732) 901-8822.

What is Mahadevan Krishnan's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Mahadevan Krishnan was last updated on October 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.