NORTH JERSEY VEIN LASER CENTER,PA (NPI# 1528349701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528349701 |
Entity Type | Organization |
Organization Name | NORTH JERSEY VEIN LASER CENTER,PA |
Practice Address |
8901 Kennedy Blvd North Bergen NJ 07047-5344 |
Mailing Address |
994 White Horse Ave Trenton NJ 08610-1428 |
Practice Telephone | 2014538900 |
Practice Fax Number | 2014538903 |
Mailing Telephone | 6095854100 |
Mailing Fax Number | 6095854106 |
Enumeration Date | 2011-09-01 |
Last Update Date | 2011-09-01 |
Authorized Official Name | DR. ZIAD HADAYA (OWNER) |
Authorized Official Telephone | 6095854100 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
Street Address |
8901 KENNEDY BLVD |
City | NORTH BERGEN |
State | NJ |
Zip Code | 07047-5344 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659348928 | Richelle R Cubillan | Physical Therapist | 8901 Kennedy Blvd, North Bergen, NJ 07047-5344 | 2006-03-03 |
1255845269 | Michelle Gonzalez | Nurse Practitioner | 8901 Kennedy Blvd, North Bergen, NJ 07047-5344 | 2017-11-29 |
1932469285 | Advanced Rehabilitation and Pain Medicine Group, Inc. | Pain Medicine | 8901 Kennedy Blvd, Suite 1w, North Bergen, NJ 07047-5344 | 2012-05-21 |
1811280175 | Pablo Vazquez | Physical Medicine & Rehabilitation | 8901 Kennedy Blvd, North Bergen, NJ 07047-5344 | 2011-05-19 |
1447553037 | Advanced Rehabilitation and Pain Medicine | Clinic/Center | 8901 Kennedy Blvd, Suite 1w, North Bergen, NJ 07047-5344 | 2010-12-21 |
1780766717 | Alice O'halloran | Physical Therapist | 8901 Kennedy Blvd, North Bergen, NJ 07047-5344 | 2006-10-19 |
1679661755 | Colleen Kennedy | Physical Therapist | 8901 Kennedy Blvd, North Bergen, NJ 07047-5344 | 2006-10-11 |
1467545327 | Kenneth Weinkauf | Physical Therapist | 8901 Kennedy Blvd, North Bergen, NJ 07047-5344 | 2006-10-02 |
1861416364 | Steven Paul Waldman | Specialist | 8901 Kennedy Blvd, North Bergen, NJ 07047-5344 | 2006-07-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447850490 | Maria Purita Yballe | Nurse Practitioner | 8100 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2020-10-29 |
1639799646 | Red Oak Pharmacy Corp | Pharmacy | 9225 John F Kennedy Blvd, Unit F, North Bergen, NJ 07047 | 2020-04-20 |
1811520091 | Andres A Varilias | Pharmacist | 7917 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2020-02-17 |
1669016986 | Rebecca Lee | Dentist | 3123 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2019-10-30 |
1720648439 | Hannah Joy Guharajan | Speech-Language Pathologist | 5665 John F. Kennedy Blvd, Apt. 508, North Bergen, NJ 07047 | 2019-06-14 |
1417417080 | Chandini Sajja | Student in an Organized Health Care Education/Training Program | 7600 River Road, North Bergen, NJ 07047 | 2019-03-20 |
1215455522 | Xavier Steven Alzate | Specialist/Technologist | 338 75th Street, 2b, North Bergen, NJ 07047 | 2017-09-07 |
1962923151 | Hala Altunji | Dentist | 8407 Jfk Blvd E, North Bergen, NJ 07047 | 2017-06-28 |
1871023457 | Diego Nieto | Specialist | 6112 Durham Ave, North Bergen, NJ 07047 | 2017-06-15 |
1326578105 | Hudson Hills Senior Living, LLC | Nursing Care | 3505 Bergen Tpke, North Bergen, NJ 07047 | 2017-06-14 |
Find all providers in zip 07047 |
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 |
---|---|---|---|---|
1437449873 | Hudson Thoracic & Vascular Surgical Associates | Surgery | 8901 Jfk Blvd E, Suite 4s, North Bergen, NJ 07047 | 2011-04-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801447784 | Heritage Wound Care LLC | Surgery | 163 Madison Ave Ste 220, Morristown, NJ 07960-7325 | 2019-09-23 |
1063063188 | Jvg Cardiovascular LLC | Surgery | 60 Baldwin Rd Ste 101b, Parsippany, NJ 07054-2901 | 2019-09-20 |
1558918359 | Varicose Veins Doctor Pa | Surgery | 3478 Kennedy Blvd, Jersey City, NJ 07307-4117 | 2019-08-26 |
1437701729 | Usa Vascular Center of New Jersey LLC | Surgery | 272 Main St Ste A, Orange, NJ 07050-3605 | 2019-07-16 |
1396301974 | Vascular & Vein Center of New Jersey LLC | Surgery | 10 Industrial Way E Ste 103, Eatontown, NJ 07724-3332 | 2019-05-19 |
1568936326 | Heritage Vascular PC | Surgery | 663 E Crescent Ave Ste 111, Ramsey, NJ 07446-1220 | 2019-01-15 |
1144761685 | Center for Vascular Medicine Nj, LLC | Surgery | 415 Route 24 Ste 6/7, Chester, NJ 07930-2920 | 2017-03-16 |
1134665631 | Robert S.walsky Md | Surgery | 22 Angela Ct, Woodcliff Lake, NJ 07677-8102 | 2017-01-09 |
1982074290 | Frontier Medical Care | Surgery | 301 Tavistock, Cherry Hill, NJ 08034-4020 | 2015-09-29 |
1023486925 | Associates In Vascular Care LLC Limb Salvage Center | Surgery | 1000 Route 35 South, Suite 300, Middletown, NJ 07748-2606 | 2015-09-09 |
Find all providers with the same taxonomy |
City | NORTH BERGEN |
Zip Code | 07047 |
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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.