Organization Active NPI

Adaptive Healthcare PA

  • Phlebology Physician
  • Oceanport, NJ
National Provider Identifier
1013573047
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2019

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)CodeLicenseStatePrimary
Phlebology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.