Healthcare Provider Details

I. General information

NPI: 1811493778
Provider Name (Legal Business Name): VINAYAK KUMAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2018
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 BERGEN STREET, ACC F LEVEL
NEWARK NJ
07103
US

IV. Provider business mailing address

140 BERGEN STREET, ACC F LEVEL
NEWARK NJ
07103
US

V. Phone/Fax

Practice location:
  • Phone: 973-972-2573
  • Fax:
Mailing address:
  • Phone: 973-972-2573
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number25MA12743500
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number25MA12743500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: