PHILADELPHIA VASCULAR INSTITUTE LLC (NPI# 1548597164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548597164 |
| Entity Type | Organization |
| Organization Name | PHILADELPHIA VASCULAR INSTITUTE LLC |
| Practice Address |
4622 Black Horse Pike Suite 102 Mays Landing NJ 08330-3214 |
| Mailing Address |
2929 Arch St Suite 620 Philadelphia PA 19104-2866 |
| Practice Telephone | 2153823680 |
| Practice Fax Number | 2153823683 |
| Mailing Telephone | 2153823680 |
| Mailing Fax Number | 2153823683 |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2009-11-04 |
| Authorized Official Name | JAMES F MCGUCKIN (CEO) |
| Authorized Official Telephone | 2153823680 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
4622 BLACK HORSE PIKE SUITE 102 |
| City | MAYS LANDING |
| State | NJ |
| Zip Code | 08330-3214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699769547 | David Philip Demareo | Physical Therapist | 4622 Black Horse Pike, Mays Landing, NJ 08330-3213 | 2005-09-07 |
| 1518511948 | Mckenzie Sweigart | Physical Therapist | 4622 Black Horse Pike, Mays Landing, NJ 08330-3214 | 2019-07-24 |
| 1457781502 | Joshua M Spada | Physical Therapist | 4622 Black Horse Pike, Mays Landing, NJ 08330-3214 | 2013-11-26 |
| 1730512443 | Rapha Medical Group PC | Clinic/Center | 4622 Black Horse Pike, Suite 101, Mays Landing, NJ 08330 | 2013-08-16 |
| 1881961092 | Stephen Lusk | Physical Therapist | 4622 Black Horse Pike, Mays Landing, NJ 08330-3214 | 2011-11-17 |
| 1902118383 | Augustine Aigbovbioise Unuigbe | Internal Medicine | 4622 Black Horse Pike, Suite 101, Mays Landing, NJ 08330 | 2010-07-13 |
| 1265670632 | James F Mcguckin Md of Nj Pa | Radiology | 4622 Black Horse Pike, Suite 102, Mays Landing, NJ 08330-3214 | 2009-01-23 |
| 1609030758 | Scott Craig Hollander | Radiology | 4622 Black Horse Pike, Suite 102, Mays Landing, NJ 08330-3214 | 2008-07-17 |
| 1467610147 | Vascular Access Center of Atlantic County, LLC | Radiology | 4622 Black Horse Pike, Suite 102, Mays Landing, NJ 08330-3214 | 2008-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463169 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 200 Wrangleboro Rd, Mays Landing, NJ 08330 | 2020-09-28 |
| 1790308708 | John Brooks Recovery Center, A New Jersey Nonprofit Corporation | Substance Abuse Rehabilitation Facility | 1455 Pinewood Blvd, Mays Landing, NJ 08330 | 2020-05-26 |
| 1306478458 | Kinjal Chaudhary | Optometrist | 510 Consumer Square, Mays Landing, NJ 08330 | 2020-02-06 |
| 1730721721 | Stacey R Gelman | Physician Assistant | 1161 New Jersey 50, Suite L, Mays Landing, NJ 08330 | 2019-10-11 |
| 1790254159 | Atlantic Apothecary | Pharmacy | 505 Hamilton Commons, Mays Landing, NJ 08330 | 2018-11-15 |
| 1205334059 | Mandy S Liberty | Registered Nurse | 5809 Main Street, St Vincent De Paul Regional School, Mays Landing, NJ 08330 | 2018-01-26 |
| 1447613104 | Heather Dugandzic | Pharmacist | 4454 Blackhorse Pike, Mays Landing, NJ 08330 | 2016-03-31 |
| 1588037527 | Caringhouse Projects, Inc | Respite Care | 5905 Buttercup Lane, Mays Landing, NJ 08330 | 2015-11-12 |
| 1902282205 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5270 Oakwoord Boulevard, Mays Landing, NJ 08330 | 2015-08-10 |
| 1730510207 | Anais Mixson | Specialist/Technologist | 4438 Yorktown Pl, Mays Landing, NJ 08330 | 2013-12-09 |
| Find all providers in zip 08330 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265670632 | James F Mcguckin Md of Nj Pa | Radiology | 4622 Black Horse Pike, Suite 102, Mays Landing, NJ 08330-3214 | 2009-01-23 |
| 1467610147 | Vascular Access Center of Atlantic County, LLC | Radiology | 4622 Black Horse Pike, Suite 102, Mays Landing, NJ 08330-3214 | 2008-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023631215 | K&h Medical-nj LLC | Radiology | 100 Wood Ave S Ste 110, Iselin, NJ 08830-2716 | 2020-05-21 |
| 1528625613 | Mvc Clinical Practice - Nj PC | Radiology | 83 Hanover Rd Ste 260, Florham Park, NJ 07932-1520 | 2019-05-23 |
| 1255899704 | Pulse Vascular, LLC | Radiology | 1051 W Sherman Ave Unit 4, Vineland, NJ 08360-6931 | 2019-03-04 |
| 1881159572 | Onsite Vascular Group Corporation | Radiology | Grosso Office Park, 50 Us Highway 9 North, Suite 102, Morganville, NJ 07751 | 2019-02-06 |
| 1578072385 | Allied Healthcare Diagnostics | Radiology | 560 60th Street, Suite A, West New York, NJ 07093 | 2017-09-25 |
| 1952764862 | Elysium Aesthetics and Vein Care, Inc | Radiology | 400 State Route 17, Ridgewood, NJ 07450 | 2016-03-30 |
| 1790127736 | Judith Karen Weinstein | Radiology | 713 Haddon Ave, Collingswood, NJ 08108-3711 | 2013-07-18 |
| 1962716480 | Benjamin Lingshaw Yam | Radiology | 38 Oak St Ste 5a, Ridgewood, NJ 07450-3875 | 2010-07-27 |
| 1629226428 | New Jersey Interventional Associates, LLC | Radiology | 1050 Galloping Hill Rd Ste 102, Union, NJ 07083-7980 | 2008-09-04 |
| 1932201613 | Jay H. Schwartz | Radiology | 1750 Zion Rd Ste 106, Northfield, NJ 08225-1844 | 2006-09-02 |
| Find all providers with the same taxonomy | ||||
| City | MAYS LANDING |
| Zip Code | 08330 |
Please comment or provide details below to improve the information on PHILADELPHIA VASCULAR INSTITUTE 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.