Active NPI
Adaptive Healthcare PA
- Phlebology Physician
- Oceanport, NJ
National Provider Identifier
1013573047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebology Physician
- Legal business name
- ADAPTIVE HEALTHCARE PA
- Practice address
- 1075 Stephenson Ave Ste D-2
Oceanport, NJ 07757-1242 - Phone
- (833) 223-2266
- Fax
- (732) 783-0323
- NPI assigned
- May 15, 2019
- Last updated
- May 30, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeremy Welwarth
- Title
- Medical Director
- Phone
- (833) 223-2266
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebology Physician | 202K00000X | Primary |
Addresses
Primary practice location
1075 Stephenson Ave Ste D-2
Oceanport, NJ 07757-1242
Mailing address
1075 Stephenson Ave Ste D-2
Oceanport, NJ 07757-1242
Phone (833) 223-2266
National Provider Directory
National Provider DirectoryLocations
1075 Stephenson Ave
Ste D2
Oceanport, NJ 07757
Phone (609) 450-8872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1559174400000",
"number": "1013573047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1075 STEPHENSON AVE STE D-2",
"city": "OCEANPORT",
"state": "NJ",
"postal_code": "077571242",
"telephone_number": "833-223-2266",
"fax_number": "732-783-0323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1075 STEPHENSON AVE STE D-2",
"city": "OCEANPORT",
"state": "NJ",
"postal_code": "077571242",
"telephone_number": "833-223-2266",
"fax_number": "732-783-0323"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADAPTIVE HEALTHCARE PA",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-15",
"last_updated": "2019-05-30",
"status": "A",
"authorized_official_last_name": "WELWARTH",
"authorized_official_first_name": "JEREMY",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "833-223-2266"
},
"taxonomies": [
{
"code": "202K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Phlebology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oceanport, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.