Provider Demographics
NPI:1245452804
Name:VOLETI, VINOD BABU (MD)
Entity type:Individual
Prefix:
First Name:VINOD
Middle Name:BABU
Last Name:VOLETI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:420 MOUNTAIN AVE FL 4
Mailing Address - Street 2:
Mailing Address - City:NEW PROVIDENCE
Mailing Address - State:NJ
Mailing Address - Zip Code:07974-2736
Mailing Address - Country:US
Mailing Address - Phone:908-458-8333
Mailing Address - Fax:973-913-7286
Practice Address - Street 1:182 SOUTH ST STE 5
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-5350
Practice Address - Country:US
Practice Address - Phone:973-630-7700
Practice Address - Fax:973-913-7286
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2025-10-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA09244000207WX0107X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAFL534YMedicare PIN
CA0A1170970Medicaid