Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Andrew Vasta, DO

Individual provider Emergency Medicine Physician · NPI 1790166544

Dr. Andrew Vasta, DO is an Emergency Medicine in Stratford, New Jersey. Qualified in 2015, 11 years ago. Practices with Kennedy Medical Group Practice, PC, a 414-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
11
Licensed in
NJ
In the registry since
2015
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

18 E Laurel Road Anthony Dipasquale D.o Program Director Rowan Som
Stratford, NJ 08084
Phone: (856) 346-7985
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 25MB10763000 (NJ)

Record details

NPI number1790166544
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 17, 2015
Last updated in NPPESFebruary 15, 2021
Certification dateFebruary 15, 2021
Mailing address1 Medical Center Dr, Stratford, NJ 08084-1500

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Kennedy Medical Group Practice, P.C. — 414 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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