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

Individual provider Psychiatry Physician · NPI 1992904445

Dr. Ketaki Vaidhyanathan, MD is a Psychiatry in Montclair, New Jersey. Graduated from Rutgers New Jersey Medical School in 1992, 34 years ago. Practices with St Josephs Healthcare Inc, a 21-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
34
Trained at
Rutgers New Jersey Medical School
Licensed in
NJ
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1 Bay Ave
Montclair, NJ 07042-4837
Phone: (973) 429-6260
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 25MA08170600 (NJ)

Record details

NPI number1992904445
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 15, 2007
Last updated in NPPESAugust 3, 2010

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolRUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated 1992 (34 years in practice)
Group practice St Josephs Healthcare Inc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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