Vein Health Institute PC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

VEIN HEALTH INSTITUTE PC

Practice address

387 Vance Ave
Franklin Lakes, NJ 07417-3016

Phone

(201) 982-4706

NPI assigned

Aug 31, 2021

Organization subpart

No

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

Authorized official

Name

Roman Kosiborod, DONPI 1831192079

Title

President

Phone

(201) 982-4706

Specialties & licenses 1

Addresses

Practitioners 1

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

• Roman N Kosiborod, D.O.

  • Specialist
  • Fair Lawn, NJ
  • NPI 1831192079
  NPD (past) Authorized official

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630368000000",
    "number": "1083382691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 VANCE AVE",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074173016",
            "telephone_number": "201-982-4706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 VANCE AVE",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074173016",
            "telephone_number": "201-982-4706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEIN HEALTH INSTITUTE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "KOSIBOROD",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-982-4706",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriana Juliet Tandazo, PTA
• The Smile Stop Franklin Lakes
• The Stop & Shop Supermarket Company LLC (Stop and Shop Pharmacy 829)
• Lauren Torrisi-Gorra, RDN
• Erin Unger, PA-C
• James Verardi, PA-C
• Amy Vespa, MS
• Robert Villa, PA-C
• Vincentiu Popa MD LLC
• Vip Anesthesia LLC

• Pain Medicine (Anesthesiology) Physician in Franklin Lakes, NJ
• Providers in Franklin Lakes, NJ by specialty
• Pain Medicine (Anesthesiology) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.