Organization Active NPI

SKS Vascular Center LLC

  • Specialist
  • Guttenberg, NJ
National Provider Identifier
1104115393
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA05225300 Issued in NJ
Legal business name
SKS VASCULAR CENTER LLC
Practice address
427 70TH St
Guttenberg, NJ 07093-2417
Phone
(201) 854-0055
Fax
(201) 854-2633
NPI assigned
Mar 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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

Authorized official

Name
Dr. Jose O Santana, MD,FACC
Title
Senior Partner
Phone
(201) 854-0055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 25MA05225300 NJ Primary

Addresses

Primary practice location

427 70TH St
Guttenberg, NJ 07093-2417

Mailing address

425 70TH St
Guttenberg, NJ 07093-2417
Phone (201) 854-0055

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1104115393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 70TH ST",
            "city": "GUTTENBERG",
            "state": "NJ",
            "postal_code": "070932417",
            "telephone_number": "201-854-0055",
            "fax_number": "201-854-2633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 70TH ST",
            "city": "GUTTENBERG",
            "state": "NJ",
            "postal_code": "070932417",
            "telephone_number": "201-854-0055",
            "fax_number": "201-854-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKS VASCULAR CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-29",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "SANTANA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "SENIOR PARTNER",
        "authorized_official_telephone_number": "201-854-0055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD,FACC"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA05225300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guttenberg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.