My Doc Vein Treatment Center

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

MY DOC VEIN TREATMENT CENTER

Practice address

210 Passaic St
Garfield, NJ 07026-1355

Phone

(862) 295-3501

Fax

(862) 295-3502

NPI assigned

Aug 12, 2019

Organization subpart

No

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

Authorized official

Name

Julie Marino

Title

Medical Director

Phone

(862) 295-3501

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608595200000",
    "number": "1053967539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 PASSAIC ST",
            "city": "GARFIELD",
            "state": "NJ",
            "postal_code": "070261355",
            "telephone_number": "862-295-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 PASSAIC ST",
            "city": "GARFIELD",
            "state": "NJ",
            "postal_code": "070261355",
            "telephone_number": "862-295-3501",
            "fax_number": "862-295-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY DOC VEIN TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-12",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "MARINO",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "862-295-3501"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Molyneaux, DC
• Melina Morel, LBA
• Yousuf Munnan-Urrehman, BPHARM
• Wajiha Mustafa, LAC
• My Doc Jersey Urgent Care LLC
• My Optometry Group PC
• Lauren Mykalcio, DC
• National Institute for People With Disabilities of New Jersey
• National Institute for People With Disabilities of New Jersey
• National Vision, Inc.

• Vascular Surgery Physician in Garfield, NJ
• Providers in Garfield, 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 Dec 22, 2020; 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.