Healthcare Provider Details

I. General information

NPI: 1053669176
Provider Name (Legal Business Name): TRUPTI PANDIT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TRUPTI KALE MD

II. Dates (important events)

Enumeration Date: 08/21/2012
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1505 W SHERMAN AVE
VINELAND NJ
08360-7059
US

IV. Provider business mailing address

PO BOX 191
ROCKLAND DE
19732-0191
US

V. Phone/Fax

Practice location:
  • Phone: 856-845-0100
  • Fax: 302-651-4945
Mailing address:
  • Phone: 302-651-4200
  • Fax: 302-651-4945

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD0097801
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD454718
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number25MA10760600
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberC1-0025382
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: