Healthcare Provider Details

I. General information

NPI: 1184559288
Provider Name (Legal Business Name): VRUNDA PATEL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

489 UNION AVE
BRIDGEWATER NJ
08807-3489
US

IV. Provider business mailing address

489 UNION AVE
BRIDGEWATER NJ
08807-3489
US

V. Phone/Fax

Practice location:
  • Phone: 732-356-9950
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. VRUNDA PATEL
Title or Position: PRESIDENT
Credential: MD
Phone: 646-919-9366