Vault Medical Services of New Jersey PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

VAULT MEDICAL SERVICES OF NEW JERSEY PC

Practice address

211 Essex St Ste 406
Hackensack, NJ 07601-3231

Phone

(929) 388-1551

NPI assigned

Jan 16, 2021

Organization subpart

No

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

Authorized official

Name

Alexander Wojciech Pastuszak, MD PHD

Title

Chief Medical Officer/Owner

Phone

(929) 388-1551

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1610755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1073102778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1012",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106021012",
            "telephone_number": "929-388-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 ESSEX ST STE 406",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076013231",
            "telephone_number": "929-388-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAULT MEDICAL SERVICES OF NEW JERSEY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-16",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A",
        "authorized_official_last_name": "PASTUSZAK",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "WOJCIECH",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER/OWNER",
        "authorized_official_telephone_number": "929-388-1551",
        "authorized_official_credential": "MD PHD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ambily Varughese, MS-CCC-SLP
• Tony Varughese, MD
• Diana Marcela Vasquez, LCSW
• Mildred Lopez Vasquez
• Rahul Vasudev, M.D
• Oscar Vazquez, M.D.
• Jessica Vega, PA-C
• Veins Only Specialists of New Jersey PC
• Daniel Vekhter, M.D.
• Nelly Velasco, OTR/L

• Internal Medicine Physician in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.