VANI MADDALI MD LLC NPI 1073688958

NPI Information

NPI: 1073688958
Provider Name: VANI MADDALI MD LLC
Classification: Clinic/Center - 261QP2300X
Specialization: Primary Care
Entity Type: Organization
Doing Business As: ESSEX MEDICAL CENTER MD PA
Address: 22 OLD SHORT HILLS RD
SUITE #108
LIVINGSTON, NJ
ZIP 07039
Phone: (973) 535-5227

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NPI Details

VANI MADDALI MD LLC is a primary care clinic center in Livingston, NJ. VANI MADDALI MD LLC NPI is 1073688958. The provider is registered as an organization entity type.
The provider Is Doing Business As Essex Medical Center Md Pa.

The provider's business location address is:

22 OLD SHORT HILLS RD
SUITE #108
LIVINGSTON, NJ
ZIP 07039-604
Phone: (973) 535-5227
Fax: (973) 535-3406

The provider's authorized official is Vani Maddali .
The authorized official title is M.d and has the following contact phone number (973) 535-5227.

The enumeration date for this NPI number is 11/23/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	MA07029100	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8522600	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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