Matthew Nalbandian, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

210651 Issued in NY

Practice address

48 Bi State PLZ # 225
Old Tappan, NJ 07675-7003

Phone

(212) 254-6882

Fax

(212) 254-6886

NPI assigned

Sep 8, 2005

Last updated

Feb 3, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: mnalbandian190031@ahs.direct-ci.com
• Direct secure messaging: mnalbandian53741@epicdirect.rwjbh.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northern Valley Vascular Associates

  • Vascular Surgery Physician
  • Old Tappan, NJ
  • NPI 1124035217
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486080000000",
    "number": "1013901842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 BI-STATE PLAZA",
            "address_2": "#225",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "076757079",
            "telephone_number": "212-254-6882",
            "fax_number": "212-254-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 BI STATE PLZ # 225",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "076757003",
            "telephone_number": "212-254-6882",
            "fax_number": "212-254-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALBANDIAN",
        "first_name": "MATTHEW",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2017-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "210651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01936992",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• MC Schettino MD
• MF Consulting , Inc .
• Kristen E Miceli, SLP
• Lisania Iris Milli, PHD, WHNP-BC
• Soon Ran NA
• Melissa E Nelson, ATC
• New Beginnings Psychotherapy
• New Concepts for Living
• New Concepts for Living
• New Jersey CVS Pharmacy LLC (CVS Pharmacy 01224)

• Vascular Surgery Physician in Old Tappan, NJ
• Providers in Old Tappan, NJ by specialty
• Vascular Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; 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.