Healthcare Provider Details

I. General information

NPI: 1437019338
Provider Name (Legal Business Name): JAVA MEDICAL CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2025
Last Update Date: 09/05/2026
Certification Date: 09/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

369 SPRINGFIELD AVE
BERKELEY HEIGHTS NJ
07922-1170
US

IV. Provider business mailing address

369 SPRINGFIELD AVE
BERKELEY HEIGHTS NJ
07922-1170
US

V. Phone/Fax

Practice location:
  • Phone: 908-363-0378
  • Fax: 347-716-8862
Mailing address:
  • Phone: 908-363-0378
  • Fax: 347-716-8862

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. VADIM FRADLIS
Title or Position: PHYSICIAN
Credential: DO
Phone: 908-363-0378