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

Vasantha Kondamudi, MD

Individual provider Family Medicine Physician · NPI 1144238924

Vasantha Kondamudi, MD is a Family Practice in Teaneck, New Jersey. Qualified in 1985, 41 years ago. Practices with Excelcare Medical Associates PA, a 199-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
41
Licensed in
NJ, NY
In the registry since
2006
Specialties on file
2
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

718 Teaneck Rd
Teaneck, NJ 07666-4245
Phone: (201) 833-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 25MA06681100 (NJ)
Family Medicine Physician Taxonomy 207Q00000X · Licence 205727 (NY)

Record details

NPI number1144238924
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 4, 2006
Last updated in NPPESApril 11, 2023
Certification dateApril 11, 2023

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesGERIATRIC MEDICINE
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Group practice Excelcare Medical Associates Pa — 199 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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