Healthcare Provider Details

I. General information

NPI: 1821219171
Provider Name (Legal Business Name): VIJAY SEELALL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VICKY SEELALL M.D.

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 MADISON AVE
MADISON NJ
07940-1868
US

IV. Provider business mailing address

300 MADISON AVE FL 3
MADISON NJ
07940-1868
US

V. Phone/Fax

Practice location:
  • Phone: 973-822-2772
  • Fax: 973-822-2773
Mailing address:
  • Phone: 973-822-2772
  • Fax: 973-822-2773

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number25MA09035100
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number25MA09035100
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code207QS1201X
TaxonomySleep Medicine (Family Medicine) Physician
License Number25MA09035100
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number25MA09035100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: