Healthcare Provider Details

I. General information

NPI: 1083559355
Provider Name (Legal Business Name): VATSAL MUKESHKUMAR KAPADIA M.B.B.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 POCONO ROAD, SAINT CLARE'S HEALTH GME OFFICE 2ND FLOOR, C-WING
DENVILLE NJ
07834
US

IV. Provider business mailing address

25 POCONO ROAD, SAINT CLARE'S HEALTH GME OFFICE 2ND FLOOR, C-WING
DENVILLE NJ
07834
US

V. Phone/Fax

Practice location:
  • Phone: 973-983-5583
  • Fax:
Mailing address:
  • Phone: 973-983-5583
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: