PATRICK SEWELL VIDAVER (MD) – Anesthesiology Physician, NPI 1295718518

PATRICK SEWELL VIDAVER (MD) is a healthcare provider. based in Hackensack, New Jersey. specializing in Anesthesiology Physician. They hold the professional credentials MD. They hold a License No. 25MA06794700 (NJ). The NPI Number for PATRICK SEWELL VIDAVER (MD) is 1295718518

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
PATRICK SEWELL VIDAVER (MD)
NPI
1295718518
Phone
(201) 488-0066
Address
30 PROSPECT AVE
Enumeration Date
21 November 2005
Last Update Date
25 August 2010

Doctor Profile

Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2014880066
Graduation Year
1993 (33 years ago)
PAC ID
1254244734
Group Practice PAC ID
2668385253
Professional Enrollment ID
I20050817000333
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for PATRICK SEWELL VIDAVER (MD)

  • Hackensack University Medical Center, 30, Prospect Avenue, Hackensack, Bergen County, New Jersey, 07601, United States

    HACKENSACK, NJ 076011914

    Phone: (201) 488-0066

    Fax: (201) 488-6769

    Type: Location

  • PO BOX 18914

    NEWARK, NJ 071918914

    Phone: (201) 488-0066

    Fax: (201) 488-6769

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07601)

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Provider's Procedures

PATRICK SEWELL VIDAVER (MD) performs procedures in Anesthesiology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYNJ01402Anesthesia for open or endoscopic total knee joint replacement1717

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668385253View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YNJ
-NJ
-NJ
-NJ
-NJ
-NJ
A N E S T H E S I O L O G YNJ
-NJ
Certified Registered Nurse Anesthetist (Crna)MD
Certified Registered Nurse Anesthetist (Crna)NJ

Reviews

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Frequently asked questions

What identifier follows PATRICK SEWELL VIDAVER (MD) across health systems?
The NPI 1295718518 uniquely identifies PATRICK SEWELL VIDAVER (MD) in U.S. healthcare data.
Is PATRICK SEWELL VIDAVER (MD)'s NPI status active today?
Active status means PATRICK SEWELL VIDAVER (MD)'s NPI record is not deactivated in the public file.
What does the directory say PATRICK SEWELL VIDAVER (MD) does?
Insurance directories may phrase it differently, but here PATRICK SEWELL VIDAVER (MD) maps to Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit PATRICK SEWELL VIDAVER (MD) in Hackensack, New Jersey?
For routing, start with Hackensack, New Jersey for PATRICK SEWELL VIDAVER (MD), then verify phone and hours locally.
Who maintains PATRICK SEWELL VIDAVER (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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