NPIMap

Organization Active NPI

Vascular Health LLC

  • Nephrology Physician
  • Freehold, NJ
National Provider Identifier
1053977801
Registry record updated May 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
VASCULAR HEALTH LLC
Practice address
77 Schanck Rd Ste B-3
Freehold, NJ 07728-2989
Phone
(732) 952-5353
Fax
(908) 603-0191
NPI assigned
May 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2019

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

Authorized official

Name
Mir M. Ahmad, MDNPI 1285735860
Title
Authorized Official
Phone
(732) 952-5353

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

77 Schanck Rd Ste B-3
Freehold, NJ 07728-2989

Mailing address

77 Schanck Rd Ste B-3
Freehold, NJ 07728-2989
Phone (732) 952-5353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190612002182 NJ Part B Supplier - Clinic/Group Practice 5395078000 Receives reassigned benefits from 16 practitioners
Practice locations: Freehold, NJ; Old Bridge, NJ; Parsippany, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2275343Vascular Health, LLC77 Schanck Road, Suite B3, Freehold, NJ 07728Certificate of waiverJan 18, 2027

National Provider Directory

National Provider Directory

Locations

77 Schanck Rd
Freehold, NJ 07728
Phone (732) 577-0400

299 Cherry Hill Rd
Ste 104
Parsippany, NJ 07054
Phone (732) 952-5353

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558051200000",
    "number": "1053977801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 SCHANCK RD STE B-3",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282989",
            "telephone_number": "732-952-5353",
            "fax_number": "908-603-0191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 SCHANCK RD STE B-3",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282989",
            "telephone_number": "732-952-5353",
            "fax_number": "908-603-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-17",
        "last_updated": "2019-05-17",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "MIR",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "732-952-5353",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.