USA VASCULAR CENTER OF NEW JERSEY LLC (NPI# 1437701729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437701729 |
| Entity Type | Organization |
| Organization Name | USA VASCULAR CENTER OF NEW JERSEY LLC |
| Practice Address |
272 Main St Ste A Orange NJ 07050-3605 |
| Mailing Address |
Po Box 353 Northbrook IL 60065-0353 |
| Practice Telephone | 8475938460 |
| Practice Fax Number | 2242354652 |
| Mailing Telephone | 8475938460 |
| Mailing Fax Number | 2242354652 |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2019-07-16 |
| Authorized Official Name | AMI ALMEDA (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 2243180118 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
272 MAIN ST STE A |
| City | ORANGE |
| State | NJ |
| Zip Code | 07050-3605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013574516 | Idrissa Cisse | Non-emergency Medical Transport (VAN) | 493 Valley Street, Apt 8, Orange, NJ 07050 | 2019-05-21 |
| 1487218277 | Pioneer Homecare of Nj, Inc. | Home Health | 14 South Center Street, Orange, NJ 07050 | 2019-04-26 |
| 1518521392 | Pioneer Hospice of Nj, Inc. | Hospice Care, Community Based | 14 South Center Street Unit 102, Orange, NJ 07050 | 2019-04-26 |
| 1326507500 | Jenny G Joseph | Licensed Practical Nurse | 787 Vose Ave, Apt A15, Orange, NJ 07050 | 2019-03-18 |
| 1790263309 | Bhuvaneswari Potti | Pharmacist | E & M Pharmacy, 205 S Essex Ave, Orange, NJ 07050 | 2018-08-06 |
| 1013397975 | The Arc of Essex County, Inc. | Respite Care | 46-56 Oakwood Avenue, Orange, NJ 07050 | 2015-06-05 |
| 1942688106 | Jennifer A Unger | Counselor | 395 South Center Street, Orange, NJ 07050 | 2015-05-08 |
| 1649692393 | Patricia Roc | Licensed Practical Nurse | 400 Highland Terrace, 5c, Orange, NJ 07050 | 2014-01-15 |
| 1942585443 | Najmusseher Khan | Pharmacist | 240-250 Central Ave, Orange, NJ 07050 | 2011-10-15 |
| 1558536607 | Alphonse Ronald Flora | Internal Medicine | 479 Fairview Ave, Orange, NJ 07050 | 2008-04-29 |
| Find all providers in zip 07050 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013020411 | Douglas Albert Brownell | Surgery | 1140 W La Veta Ave Ste 850, Orange, CA 92868-4218 | 2006-08-17 |
| 1588083646 | Meena Archie | Surgery | 1140 W La Veta Ave Ste 850, Orange, CA 92868-4218 | 2014-04-15 |
| 1164786521 | Samuel Lo Chen | Surgery | 333 City Blvd W Ste 705, Orange, CA 92868-2950 | 2012-06-30 |
| 1740487347 | Isabella Jade Kuo | Surgery | 333 City Blvd W, Suite 1600, Orange, CA 92868-2903 | 2007-06-28 |
| 1518065861 | Samuel Eric Wilson | Surgery | 101 The City Dr S, Suite 810 City Tower, Orange, CA 92868-3201 | 2006-09-20 |
| 1982605986 | Timothy Harward | Surgery | 1140 W La Veta Ave, Ste. 850, Orange, CA 92868-4225 | 2005-08-02 |
| 1205837200 | Jeffrey Lawrence Ballard | Surgery | 1140 W La Veta Ave, Ste. 850, Orange, CA 92868-4225 | 2005-08-02 |
| 1770584534 | Daniel Preston Flanigan | Surgery | 1140 W La Veta Ave, Ste. 850, Orange, CA 92868-4225 | 2005-08-02 |
| 1770583056 | Stacey Cam Tien | Surgery | 1140 W La Veta Ave, Ste. 850, Orange, CA 92868-4225 | 2005-07-28 |
| 1164429015 | Roy Masami Fujitani | Surgery | 333 City Blvd W, Suite 700, Orange, CA 92868-2903 | 2005-07-07 |
| Find all providers in ORANGE | ||||
Please comment or provide details below to improve the information on USA VASCULAR CENTER OF NEW JERSEY LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.