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Deactivated NPI 1396953295 Deactivated / Inactive NPI Female Practitioner

Dr. Vida T Vida , MD

Specialist • Wayne, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Vida Vida has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 21, 2007
NPI Deactivation Date October 24, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Vida Vida, MD was a registered Specialist practicing in Wayne, NJ. Throughout an active medical career spanning 11 years, Dr. Vida provided care at the practice location at 342 HAMBURG TPKE until profile deactivation on 2018-10-24.

Practice Location & Contact Primary Location

Practice Address

342 Hamburg Tpke
Suite 202

Wayne, NJ 074702162

Telephone 9735955002
Fax 9735955964
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Wayne, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 36.0 Yrs
State Avg: 35.6 Yrs
Regional Practice Density
29 Specialists

Practicing in Wayne, NJ (1802 Statewide)

Telehealth Adoption Rate
10.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NJ MA036824

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
Dr. Eugene Zeltser , MD

Internal Medicine - Nephrology

NPI 1215948617

Doctor of Medicine (M.D.)

Patrizia Tirri , PA-C

Orthopaedic Surgery

NPI 1255531539

Physician Assistant (Certified)

John Hayes , PT

Physical Therapist

NPI 1295818508

Physical Therapist

Dr. Zachary Deneen , DPT

Physical Therapist

NPI 1326384199

Doctor of Physical Therapy

Dr. Dhirendra Das , MD, FACC, FACP

Internal Medicine - Cardiovascular Disease

NPI 1356440747

Doctor of Medicine (M.D.), FACC, FACP

Socorro Caballery-Smith , MSW, LCSW

Social Worker - Clinical

NPI 1417154550

Master of Social Work, Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 24, 2018

Record deactivated on October 24, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 342 HAMBURG TPKE, SUITE 202, WAYNE, NJ 074702162 (Tel: 9735955002)

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Updated Business Mailing Address July 08, 2007

Registered at 342 HAMBURG TPKE, SUITE 202, WAYNE, NJ 074702162 (Tel: 9735955002)

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Provider Name / Credentials Updated July 08, 2007

Recorded as VIDA VIDA, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #MA036824 in NJ)

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Initial NPI Registration & Enumeration May 21, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396953295
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 21, 2007
Last Update: July 08, 2007
Deactivation Date: October 24, 2018

Mailing Address

342 Hamburg Tpke, Suite 202

Wayne, NJ 074702162

Phone: 9735955002

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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