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VASCULAR ASSOCIATES OF NEW JERSEY NPI 1497794713


NPI Information

NPI: 1497794713
Provider Name: VASCULAR ASSOCIATES OF NEW JERSEY
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
200 S ORANGE AVE
LIVINGSTON, NJ
ZIP 07039
Phone: (973) 322-7233
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VASCULAR ASSOCIATES OF NEW JERSEY is a vascular surgery surgery in Livingston, NJ. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. VASCULAR ASSOCIATES OF NEW JERSEY NPI is 1497794713. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

200 S ORANGE AVE
LIVINGSTON, NJ
ZIP 07039-817
Phone: (973) 322-7233
Fax: (973) 322-7499

The provider's authorized official is Bruce Brener .
The authorized official title is President and has the following contact phone number (973) 322-7233.

The enumeration date for this NPI number is 6/5/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10074977MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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