Laser and Vein Treatment Center

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

LASER AND VEIN TREATMENT CENTER

Practice address

165 Main St
Hackensack, NJ 07601-7124

Phone

(516) 851-4211

Fax

(219) 300-5903

NPI assigned

Dec 11, 2019

Organization subpart

No

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

Authorized official

Name

Benjamin Lingshaw Yam, MDNPI 1962716480

Title

MD

Phone

(201) 870-0033

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

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

• Benjamin Lingshaw Yam, M.D.

  • Vascular & Interventional Radiology Physician
  • Hackensack, NJ
  • NPI 1962716480

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583712000000",
    "number": "1114565934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 MAIN ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076017124",
            "telephone_number": "516-851-4211",
            "fax_number": "219-300-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 MAIN ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076017124",
            "telephone_number": "516-851-4211",
            "fax_number": "219-300-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASER AND VEIN TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-11",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A",
        "authorized_official_last_name": "YAM",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "LINGSHAW",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "201-870-0033",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela J. Langner, R.D.
• Leanna Laor, M.D.
• Sivia K Lapidus, M.D.
• Margarita Laquindanum, PMHNP-BC
• Joyce Larson
• Charmayne Lash
• Susan Z Lastra, PT, DPT
• Johanna Laszloczky, FNP-BC
• Latin American Institute
• Eric Latzman, LSW

• Vascular & Interventional Radiology Physician in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Vascular & Interventional Radiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.