ASCLEPIUS VASCULAR SERVICES PC (NPI# 1689984940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689984940 |
| Entity Type | Organization |
| Organization Name | ASCLEPIUS VASCULAR SERVICES PC |
| Practice Address |
111 Central Avenue Newark NJ 07102 |
| Mailing Address |
1401 Norwood Way Whippany NJ 07981-1435 |
| Practice Telephone | 9738775059 |
| Practice Fax Number | 9738772954 |
| Mailing Telephone | 9738775059 |
| Mailing Fax Number | 9738772954 |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2010-10-20 |
| Authorized Official Name | DR. GEORGE MANIS (OWNER) |
| Authorized Official Telephone | 9738775059 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | NJ STATE LICENCE | 25MA08210100 | 01 |
| Street Address |
111 CENTRAL AVENUE |
| City | NEWARK |
| State | NJ |
| Zip Code | 07102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699777458 | Saint Michael's Medical Center, Inc. | Clinic/Center | 111 Central Avenue, Newark, NJ 07102-1909 | 2005-08-11 |
| 1811500101 | Rime Mehannek | Student in an Organized Health Care Education/Training Program | 111 Central Avenue, Newark, NJ 07102 | 2020-08-26 |
| 1407478282 | Folasade Modupe Ajayi | Student in an Organized Health Care Education/Training Program | 111 Central Avenue, Newark, NJ 07102 | 2020-05-14 |
| 1467008839 | Szabela Infectious Disease Consulting | Internal Medicine | 111 Central Avenue, Newark, NJ 07102-1909 | 2019-08-12 |
| 1619536455 | Rutwik Patel | Student in an Organized Health Care Education/Training Program | 111 Central Avenue, Medical Education Department, Newark, NJ 07102 | 2019-06-06 |
| 1538421714 | Jessica Kathleen Mclane | Emergency Medicine | 111 Central Avenue, Newark, NJ 07102 | 2012-06-13 |
| 1174613178 | Elvira J Gutierrez | Physician Assistant | 111 Central Avenue, Saint Michael's Medical Center, Newark, NJ 07102 | 2006-10-13 |
| 1255423885 | Louis J Perl | Radiology | 111 Central Avenue, Newark, NJ 07102-1909 | 2006-09-29 |
| 1851407951 | Nalini S Parikh | Pathology | 111 Central Avenue, St. Michaels Medical Center, Newark, NJ 07102 | 2006-08-22 |
| 1083640965 | Akbar Hussain Noormohamed | Emergency Medicine | 111 Central Avenue, Newark, NJ 07102-1909 | 2006-06-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253779 | Integrity, Inc | Clinic/Center | 1091-1093 Broad Street, Newark, NJ 07102 | 2020-10-19 |
| 1881292720 | Oluwaseun Ademulegun | Pharmacist | 1084 Broad Street, Newark, Newark, NJ 07102 | 2020-10-13 |
| 1679042295 | Henry Paul Grayner | Specialist/Technologist | 100 Lock St, Newark, NJ 07102 | 2018-11-14 |
| 1548736838 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 101 Lincoln Park, 2nd Floor, Newark, NJ 07102 | 2018-10-15 |
| 1962981407 | Crystal Kay-baune Mccown | Social Worker | 130 Orange St, Newark, NJ 07102 | 2018-08-07 |
| 1053808865 | Nubi Consultants Corp. Dba Aplus Home Care | Physical Therapist | 11 Franklin Street, 11 Franklin Street, Newark, NJ 07102 | 2018-04-17 |
| 1396249264 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 49 Lincoln Park, Newark, NJ 07102 | 2018-03-23 |
| 1568960896 | Saint James Health Inc | Clinic/Center | 36 Halsey Street, Newark, NJ 07102 | 2018-02-01 |
| 1992216527 | Metropolitan Center for Human Services | Psychologist | 520 Dr. Martin Luther King, Jr. Boulevard, Newark, NJ 07102 | 2017-10-23 |
| 1467974949 | Ahmad Mohammad Tawfiq Damati | Student in an Organized Health Care Education/Training Program | 123 University Ave, Newark, Nj 07102, Newark, NJ 07102 | 2017-07-17 |
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| 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 |
|---|---|---|---|---|
| 1437415684 | Reid A Ravin | Surgery | 4755 Ogletown Stanton Rd Ste 1e20, Newark, DE 19718-2200 | 2012-04-02 |
| 1932276755 | Zafar Jamil | Surgery | 306 Dr Martin Luther King Jr Blvd, Newark, NJ 07102-2011 | 2006-11-29 |
| 1992818421 | Thomas K Evans | Surgery | 1 Centurian Dr Ste 307, Newark, DE 19713 | 2006-08-17 |
| 1356343586 | William H Phillips | Surgery | 1371 West Main Street, Newark, OH 43055 | 2005-06-01 |
| 1427306240 | Delaware Vascular and Vein Center, LLC | Surgery | 774 Christiana Rd, Suite 109, Newark, DE 19713-4236 | 2012-08-28 |
| 1366716060 | Vascular Specialists, P.a. | Surgery | 1 Centurian Dr, Suite 307, Newark, DE 19713-2137 | 2012-02-28 |
| 1083858872 | Joe T. Huang | Surgery | 150 Bergen St, F-102, Newark, NJ 07103-2496 | 2009-04-24 |
| 1043379290 | Delaware Vascular Associates P A | Surgery | 4735 Ogletown Stanton Rd, Medical Arts Pavilion 2 Suite 1208, Newark, DE 19713-2072 | 2006-12-06 |
| 1821101312 | Frederic Todd Harad | Surgery | 4735 Ogletown Stanton Road, Suite 1e20, Newark, DE 19713 | 2006-08-17 |
| 1548373046 | Sonya Natalie Tuerff | Surgery | 774 Christiana Rd, Suite 109, Newark, DE 19713-4236 | 2006-08-17 |
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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.