Organization Active NPI

Veins Only Specialists of New Jersey PC

  • Phlebology Physician
  • Hackensack, NJ
National Provider Identifier
1104512227
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
Legal business name
VEINS ONLY SPECIALISTS OF NEW JERSEY PC
Practice address
126 State St Ste 101
Hackensack, NJ 07601-5455
Phone
(973) 542-2343
NPI assigned
Apr 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Authorized official

Name
Alexander Zaitsev
Title
President
Phone
(973) 542-2343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 202K00000X Primary

Addresses

Primary practice location

126 State St Ste 101
Hackensack, NJ 07601-5455

Mailing address

126 State St
Hackensack, NJ 07601-5448

National Provider Directory

National Provider Directory

Locations

126 State St
Ste 101
Hackensack, NJ 07601
Phone (973) 542-2343

126 State St
Ste 2
Hackensack, NJ 07601
Phone (908) 765-8346

NPI Registry JSON

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1104512227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 STATE ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 STATE ST STE 101",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015455",
            "telephone_number": "973-542-2343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEINS ONLY SPECIALISTS OF NEW JERSEY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "ZAITSEV",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-542-2343"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Phlebology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.