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

Dr. Vivek Dantapally Reddy, MBBS

Individual provider Internal Medicine Physician · NPI 1154775294

Dr. Vivek Dantapally Reddy, MBBS is an Internal Medicine in Hackensack, New Jersey. Qualified in 2013, 13 years ago. Practices with Practice Associates Medical Group, a 1,403-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
13
Licensed in
NJ
In the registry since
2016
What do these letters mean?
MBBS — Bachelor of Medicine, Bachelor of Surgery
The medical degree awarded in the UK, India and many Commonwealth countries; equivalent to an MD.

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Practice location Address checks out

30 Prospect Ave
Hackensack, NJ 07601-1915
Phone: (551) 996-4466
Fax: (551) 996-0969
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 99 Beauvoir Ave, Summit, NJ 07901-3533 — (908) 522-6414

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 25MA10848200 (NJ)

Record details

NPI number1154775294
Entity typeIndividual (Type 1)
GenderMale
Credentials MBBS
Sole proprietorNo
NPI enumeratedApril 14, 2016
Last updated in NPPESMarch 23, 2021
Certification dateMarch 22, 2021

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Practice Associates Medical Group — 1403 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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