Healthcare Provider Details

I. General information

NPI: 1518547405
Provider Name (Legal Business Name): AKSHAY VIG
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2021
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 REHILL AVE
SOMERVILLE NJ
08876-2519
US

IV. Provider business mailing address

127 JESSICA CT
BRANCHBURG NJ
08876-5481
US

V. Phone/Fax

Practice location:
  • Phone: 908-685-2995
  • Fax:
Mailing address:
  • Phone: 860-510-2365
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberFV6228541
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: