VARICOSE VEINS DOCTOR PA (NPI# 1558918359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558918359 |
| Entity Type | Organization |
| Organization Name | VARICOSE VEINS DOCTOR PA |
| Practice Address |
3478 Kennedy Blvd Jersey City NJ 07307-4117 |
| Practice Telephone | 2129069111 |
| Mailing Telephone | 2129069111 |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2019-08-26 |
| Authorized Official Name | DR. MICHAEL AZIZ (CEO) |
| Authorized Official Telephone | 9176992525 |
| 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 |
3478 KENNEDY BLVD |
| City | JERSEY CITY |
| State | NJ |
| Zip Code | 07307-4117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235780123 | Heritage Veins & Aesthetics LLC | Surgery | 3478 Kennedy Blvd, Jersey City, NJ 07307-4117 | 2019-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952914244 | Anna Manioudakis | Nurse Practitioner | 3540 Kennedy Blvd., Jersey City, NJ 07307 | 2020-08-26 |
| 1497222095 | M.e.t.s. Charter School | Local Education Agency (LEA) | M.e.t.s. Charter School, 211 Sherman Street, Jersey City, NJ 07307 | 2018-11-01 |
| 1255704540 | Caringhouse Projects, Inc | Respite Care | 1089 Summit Avenue, Apt 6, Jersey City, NJ 07307 | 2015-11-09 |
| 1114390739 | Pei Lin, Md | Otolaryngology | 3624 Jfk Blvd, Jersey City, NJ 07307 | 2015-11-04 |
| 1700259330 | Ruju Shah | Physical Therapist | 151 Bleecker St, Apt 6, Jersey City, NJ 07307 | 2015-11-04 |
| 1750780656 | Mariam Marzouk | Psychologist | 224 Bowers Street, Jersey City, NJ 07307 | 2014-08-15 |
| 1063820462 | Briones Family Dental, Inc. | Dentist | 3592 John F. Kennedy Blvd, Jersey City, NJ 07307 | 2014-07-29 |
| 1295159713 | Anukriti Mehta | Pharmacist | 1212 Summit Avenue, Jersey City, NJ 07307 | 2014-02-05 |
| 1033552872 | Diana Lorena Ceron | Marriage & Family Therapist | 147 Columbian Turnpike, Suit 307, Florham Park, NJ 07307 | 2013-04-11 |
| 1104162767 | Khurram Saleem Malik | Internal Medicine | 126 Terrace Ave, Jersey City, NJ 07307 | 2012-12-28 |
| Find all providers in zip 07307 | ||||
| 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 |
|---|---|---|---|---|
| 1659691327 | Florence Chan M.d.,pc | Surgery | 205 9th St, Jersey City, NJ 07302-1704 | 2010-06-04 |
| 1659434595 | Salah Taha | Surgery | 550 Summit Ave Ste 203, Jersey City, NJ 07306-2700 | 2006-12-19 |
| 1265497507 | Florence Y Chan | Surgery | 205 9th Street, Jersey City, NJ 07302 | 2006-04-19 |
| 1285605667 | Hudson Surgical Group PC | Surgery | 17 Nardone St, Jersey City, NJ 07306 | 2006-02-01 |
| 1235780123 | Heritage Veins & Aesthetics LLC | Surgery | 3478 Kennedy Blvd, Jersey City, NJ 07307-4117 | 2019-09-23 |
| 1760541726 | Joseph F Popovich, M.d., P.C. | Surgery | 159 Palisade Ave, Jersey City, NJ 07306-1113 | 2006-12-06 |
| 1932174125 | Patrick J Mcgovern Jr. | Surgery | 17 Nardone St, Jersey City, NJ 07302 | 2006-02-21 |
| 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 |
| 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 |
| 1154742872 | Bergen Thoracic and Vascular Associates P.C. | Surgery | 350 Engle Street - 2 East (floor), C/o Englewood Hospital and Medical Center, Englewood, NJ 07631 | 2013-12-23 |
| Find all providers with the same taxonomy | ||||
| City | JERSEY CITY |
| Zip Code | 07307 |
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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.