=====================================================
General NPI Number Information
=====================================================
NPI Number | 1245452804
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | VINOD BABU VOLETI M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/03/2007
-----------------------------------------------------
Last Update Date | 10/15/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 182 SOUTH ST STE 5
-----------------------------------------------------
City | MORRISTOWN
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07960-5350
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 973-630-7700
-----------------------------------------------------
Fax | 973-913-7286
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 420 MOUNTAIN AVE FL 4
-----------------------------------------------------
City | NEW PROVIDENCE
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07974-2736
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 908-458-8333
-----------------------------------------------------
Fax | 973-913-7286
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207WX0107X
-----------------------------------------------------
Taxonomy Name | Retina Specialist (Ophthalmology) Physician
-----------------------------------------------------
License Number | 25MA09244000
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207W00000X
-----------------------------------------------------
Taxonomy Name | Ophthalmology Physician
-----------------------------------------------------
License Number | 25MA09244000
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------