Healthcare Provider Details

I. General information

NPI: 1548155278
Provider Name (Legal Business Name): VEDIKH DYNAMIC REHAB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2025
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 SEDICAVAGE WAY
BUDD LAKE NJ
07828-1446
US

IV. Provider business mailing address

20 SEDICAVAGE WAY
BUDD LAKE NJ
07828-1446
US

V. Phone/Fax

Practice location:
  • Phone: 201-575-7467
  • Fax:
Mailing address:
  • Phone: 201-575-7467
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MS. KHUSHALI TRIVEDI
Title or Position: DELEGATED OFFICIAL
Credential:
Phone: 201-575-7467