Organization Active NPI

NJ Vein & Cosmetic Surgery Center, PA

  • Ambulatory Surgical Clinic/Center
  • West Orange, NJ
National Provider Identifier
1063531911
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
311087 Issued in NJ
Legal business name
NJ VEIN & COSMETIC SURGERY CENTER, PA
Practice address
741 Northfield Ave
Suite 105
West Orange, NJ 07052-1174
Phone
(973) 243-2200
Fax
(973) 243-1409
NPI assigned
Mar 29, 2007
Last updated
Jan 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Authorized official

Name
Cindy Naguib
Title
Director of Operations
Phone
(973) 243-9729

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 311087 NJ Primary

Addresses

Primary practice location

741 Northfield Ave
Suite 105
West Orange, NJ 07052-1174

Mailing address

741 Northfield Ave Ste 105
West Orange, NJ 07052-1104
Phone (973) 243-9729

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090611000279 NJ Part B Supplier - Ambulatory Surgical Center 5799835880 Receives reassigned benefits from 2 practitioners
Practice locations: West Orange, NJ

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
NJ Vein Cosmetic Surgery CenterCCN 31C0001087
Medicare certification status
ActiveFrom the Provider of Services file

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
31D0920669NJ Vein & Cosmetic Surgery Center741 Northfield Ave, West Orange, NJ 07052Certificate of waiverOct 7, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769126400000",
    "number": "1063531911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 NORTHFIELD AVE STE 105",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521104",
            "telephone_number": "973-243-9729",
            "fax_number": "973-243-9674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 NORTHFIELD AVE",
            "address_2": "SUITE 105",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521174",
            "telephone_number": "973-243-2200",
            "fax_number": "973-243-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ VEIN & COSMETIC SURGERY CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A",
        "authorized_official_last_name": "NAGUIB",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "973-243-9729"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NJ",
            "license": "311087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; 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.