Ketankumar Vaidya, LLC
NPI 1417095845 · Geriatric Medicine (Internal Medicine) Physician · Edison, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ketankumar Vaidya, LLC is a Geriatric Medicine (Internal Medicine) Physician organization in Edison, NJ (NPI 1417095845).
Provider details
- NPI number
- 1417095845
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ketankumar Vaidya, Owner(732) 985-2151
- License
- MA74514 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-02-01
- Last updated
- 2012-06-11
Frequently asked questions
- What is Ketankumar Vaidya, LLC's NPI number?
- Ketankumar Vaidya, LLC's National Provider Identifier (NPI) is 1417095845, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ketankumar Vaidya, LLC?
- Ketankumar Vaidya, LLC is classified in the NPPES registry as Geriatric Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Ketankumar Vaidya, LLC located?
- Ketankumar Vaidya, LLC's practice location on file with NPPES is 2149 Woodbridge Ave, Edison, NJ 08817-4474.
- What is Ketankumar Vaidya, LLC's phone number?
- The practice phone number listed in the NPPES registry for Ketankumar Vaidya, LLC is (732) 985-2151.
- Does Ketankumar Vaidya, LLC accept Medicare?
- Ketankumar Vaidya, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ketankumar Vaidya, LLC?
- The authorized official listed on Ketankumar Vaidya, LLC's NPPES record is Ketankumar Vaidya, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ketankumar Vaidya, LLC's NPI active?
- Yes — Ketankumar Vaidya, LLC's NPI (1417095845) is active in the NPPES registry as of the last update on 2012-06-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.