VEIN RESTORATION MEDICAL GROUP. PC (NPI# 1609418839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609418839 |
| Entity Type | Organization |
| Organization Name | VEIN RESTORATION MEDICAL GROUP. PC |
| Practice Address |
663 E Crescent Ave Ste 111 Ramsey NJ 07446 |
| Mailing Address |
31-00 Broadway 1st Floor Fair Lawn NJ 07410 |
| Practice Telephone | 2017917771 |
| Practice Fax Number | 2017917337 |
| Mailing Telephone | 2017917771 |
| Mailing Fax Number | 2017917337 |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2019-10-09 |
| Authorized Official Name | ALEKSANDR MARIRSOV (DIRECTOR) |
| Authorized Official Telephone | 2017917771 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
663 E CRESCENT AVE STE 111 |
| City | RAMSEY |
| State | NJ |
| Zip Code | 07446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336645043 | Victoria Elizabeth Hewitt | Counselor | 70 Hilltop Rd Ste 2350, Ramsey, NJ 07446 | 2018-04-02 |
| 1558803213 | Renee C Caronia | Counselor | 400d Lake St Ste A-2, Ramsey, NJ 07446 | 2016-11-12 |
| 1104377563 | Prapti Shah | Pharmacist | Route 17 & Franklin Tpke, Ramsey, NJ 07446 | 2016-10-20 |
| 1992187769 | Christian Counseling Center of Ny & Nj, LLC | Counselor | 19 Spear Rd., Suite #205, Ramsey, NJ 07446 | 2015-06-29 |
| 1124419486 | Michael R. Ingui | Chiropractor | 46 N Central Ave, Ramsey, NJ 07446 | 2015-02-09 |
| 1043621253 | New Jersey Smiles of Ramsey | Dentist | 246 N. Franklin Turnpike, 3b, Ramsey, NJ 07446 | 2014-05-12 |
| 1366883027 | Restorative Massage LLC | Massage Therapist | 79 North Franklin Turnpike St F, Ste F, Ramsey, NJ 07446 | 2013-07-10 |
| 1790021525 | Mid-atlantic Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 79 N. Franklin Tpke, Suite 202, Ramsey, NJ 07446 | 2012-12-26 |
| 1801062211 | Anthony Thomas Ruvolo | Counselor | 19 Spear Road, Suite #312, Ramsey, NJ 07446 | 2008-05-06 |
| 1902075880 | Andrea B Sabatini | Psychologist | 300 A Lake Street, Ramsey, NJ 07446 | 2008-02-26 |
| Find all providers in zip 07446 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922469535 | Pana Community Hospital Association | Family Medicine | 103 W 6th St, Ramsey, IL 62080-0016 | 2016-03-09 |
| 1285887000 | Ashley Crumby | Family Medicine | 545 Island Rd Ste 2b, Ramsey, NJ 07446-2822 | 2008-10-23 |
| 1568651099 | Pana Community Hospital Association | Family Medicine | 715 South Superior, Ramsey, IL 62080 | 2007-10-22 |
| 1598727067 | Harold Lee Conley | Family Medicine | 5300 Alpine Dr Nw, Ramsey, MN 55303-4778 | 2006-04-03 |
| 1306807870 | James B Long | Family Medicine | 7231 Sunwood Dr Nw, Ramsey, MN 55303-5190 | 2006-03-31 |
| 1063826998 | Isaac Adediran | Family Medicine | 7231 Sunwood Dr Nw, Ramsey, MN 55303-5190 | 2014-06-18 |
| 1750713616 | Michael Ray Bayless | Family Medicine | 295 N Franklin Tpke, Ramsey, NJ 07446-2823 | 2013-08-02 |
| 1548586241 | Susan A. Look-torgerson | Family Medicine | 7231 Sunwood Dr Nw, Ramsey, MN 55303-5190 | 2010-04-20 |
| 1871755009 | Matthew Stephen Cooper | Family Medicine | 470 N Franklin Tpke Ste 203, Ramsey, NJ 07446-1385 | 2008-06-29 |
| 1265609812 | Faiza I Fayyaz | Family Medicine | 7231 Sunwood Dr Nw, Ramsey, MN 55303-5190 | 2008-05-13 |
| Find all providers in RAMSEY | ||||
Please comment or provide details below to improve the information on VEIN RESTORATION MEDICAL GROUP. PC.
| 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.