Individual provider Active NPI

Kunal Vani

  • Vascular Surgery Physician
  • Rockaway, NJ
National Provider Identifier
1053729988
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
25MB11094600 Issued in NJ
Practice address
333 Mount Hope Ave Ste 260
Rockaway, NJ 07866-1657
Phone
(973) 895-6605
Fax
(973) 895-5338
NPI assigned
Jul 23, 2014
Last updated
Oct 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 25MB11094600 NJ Primary

Addresses

Primary practice location

333 Mount Hope Ave Ste 260
Rockaway, NJ 07866-1657

Mailing address

PO Box 416457
Boston, MA 02241-6457
Phone (844) 362-1735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210727001312 NJ Practitioner - Vascular Surgery 4082017132 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Lake Erie Col of Osteo Med at Seton Hill Univ, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Health Consultants, P.a.Group PAC ID 8325934706, 118 clinicians
Barnabas Health Medical Group, PCGroup PAC ID 0648172809, 257 clinicians
CCG Medical Group LLCGroup PAC ID 0648640680, shared by 2 NPIs, 24 clinicians

Practice addresses (Care Compare)

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5915

201 Lyons Ave
Newark, NJ 07112-2027
Phone (732) 923-7455

433 Central Ave
Westfield, NJ 07090-2520
Phone (973) 759-9000

788 Broad St
Shrewsbury, NJ 07702-4203
Phone (973) 759-9000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Melanoma (skin cancer) excision1-10
Leg revascularization (restoring blood flow)13
Removal of tissue18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
CCG Medical Group LLC CurrentSince Jan 1, 2023 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Apr 9, 2024 Accepting new patients
Practice Associates Medical Group CurrentSince Aug 1, 2021 Accepting new patients
Cardiovascular Health Consultants, P.a. CurrentSince Mar 5, 2024 Accepting new patients
Barnabas Health Medical Group, PC CurrentSince Aug 30, 2024 Accepting new patients
CCG Medical Group LLC CurrentSince Jan 1, 2023 Accepting new patients
Cardiovascular Care Group PC CurrentSince Jul 1, 2021 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Apr 9, 2024 Accepting new patients
Ahs Hospital Corp PastSince Oct 17, 2021 Accepting new patients

Locations

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

95 Madison Ave
Ste 109
Morristown, NJ 07960
Phone (973) 538-8336

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

201 Lyons Ave
#L4
Newark, NJ 07112
Phone (973) 926-7154

333 Mount Hope Ave
Rockaway, NJ 07866
Phone (973) 895-6601

333 Mount Hope Ave
Ste 260
Rockaway, NJ 07866
Phone (973) 895-6605

788 Broad St
Shrewsbury, NJ 07702

788 Broad St
#1
Shrewsbury, NJ 07702

649 Morris Ave
Springfield, NJ 07081
Phone (973) 795-7955

673 Morris Ave
Ste 201
Springfield, NJ 07081
Phone (212) 241-2087

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

433 Central Ave
Westfield, NJ 07090

433 Central Ave
Fl 2
Westfield, NJ 07090
Phone (973) 302-8700

Interoperability endpoints

  • Direct secure messaging: kvani@tcvcg.ssdirect.aprima.com

Organizations & group practices 9

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1053729988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416457",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416457",
            "telephone_number": "844-362-1735",
            "fax_number": "973-290-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 MOUNT HOPE AVE STE 260",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078661657",
            "telephone_number": "973-895-6605",
            "fax_number": "973-895-5338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANI",
        "first_name": "KUNAL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-23",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NJ",
            "license": "25MB11094600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway, NJ

Sources for this page

Verify at the official NPI Registry.