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

Individual provider Anesthesiology Physician · NPI 1295718518

Patrick Sewell Vidaver, MD is an Anesthesiology Physician in Hackensack, New Jersey. Licensed in New Jersey. Registered with an NPI since 2005.

Licensed in
NJ
In the registry since
2005
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

30 Prospect Ave
Hackensack, NJ 07601-1914
Phone: (201) 488-0066
Fax: (201) 488-6769
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 25MA06794700 (NJ)

Record details

NPI number1295718518
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 21, 2005
Last updated in NPPESAugust 25, 2010
Mailing addressPo Box 18914, Newark, NJ 07191-8914

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