MEDICARE: REPRODUCTIVE CENTER OF CENTRAL NEW JERSEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1003036674
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REPRODUCTIVE CENTER OF CENTRAL NEW JERSEY

Provider Business Mailing Address
First Line	:	3000 HADLEY RD FL 2
Second Line	:
City	:	SOUTH PLAINFIELD
State	:	NJ
Zip	:	07080-1183
Country	:	US
Telephone Number	:	908-412-9909
Fax Number	:	908-412-9910

Provider Business Practice Location Address
First Line	:	3000 HADLEY RD FL 2
Second Line	:
City	:	SOUTH PLAINFIELD
State	:	NJ
Zip	:	07080-1183
Country	:	US
Telephone Number	:	908-412-9909
Fax Number	:	908-412-9910

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. PRAFUL VAIDY
Credential	:	PHD
Telephone Number	:	908-412-9909

Provider Enumeration Date	:	04/26/2007
Last Update Date	:	08/22/2020

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