Healthcare Provider Details
I. General information
NPI: 1295085702
Provider Name (Legal Business Name): CYNTHIA VUITTONET M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/12/2012
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1931 OAK TREE RD LOWR LEVEL
EDISON NJ
08820-2072
US
IV. Provider business mailing address
1931 OAK TREE RD LOWR LEVEL
EDISON NJ
08820-2072
US
V. Phone/Fax
- Phone: 732-482-9600
- Fax: 732-372-0800
- Phone: 732-480-9600
- Fax: 732-372-0800
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RB0002X |
| Taxonomy | Obesity Medicine (Internal Medicine) Physician |
| License Number | 25MA10264700 |
| License Number State | NJ |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 262341 |
| License Number State | MA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084A0401X |
| Taxonomy | Addiction Medicine (Psychiatry & Neurology) Physician |
| License Number | 25MA10264700 |
| License Number State | NJ |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 25MA10264700 |
| License Number State | NJ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: