Northern Valley Vascular Associates

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

210651 Issued in NY

Legal business name

NORTHERN VALLEY VASCULAR ASSOCIATES

Practice address

48 Bi State PLZ # 225
Old Tappan, NJ 07675-7003

Phone

(212) 254-6882

Fax

(212) 254-6886

NPI assigned

Aug 2, 2006

Last updated

Feb 3, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Martin Nalbandian, M.D.NPI 1013901842

Title

Managing Member

Phone

(212) 254-6882

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Nalbandian, M.D.

  • Vascular Surgery Physician
  • Old Tappan, NJ
  • NPI 1013901842
  Authorized official Same address or phone
• Balvinder Sadarangani, M.D.

  • Obstetrics & Gynecology Physician
  • New York, NY
  • NPI 1649326927
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486080000000",
    "number": "1124035217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 BI STATE PLZ # 225",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "076757003",
            "telephone_number": "212-254-6882",
            "fax_number": "212-254-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 BI STATE PLZ # 225",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "076757003",
            "telephone_number": "212-254-6882",
            "fax_number": "212-254-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN VALLEY VASCULAR ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2017-02-03",
        "status": "A",
        "authorized_official_last_name": "NALBANDIAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "212-254-6882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "210651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa E Nelson, ATC
• New Beginnings Psychotherapy
• New Concepts for Living
• New Concepts for Living
• New Jersey CVS Pharmacy LLC (CVS Pharmacy 01224)
• Donna Gabriella Nucera, LAC
• Olubunmi E Okunlola, MD
• Old Tappan Chiropractic, PA
• Old Tappan Medical Group Dept of Internal Medicine, LLC
• Old Tappan Medical Group, PA

• Vascular Surgery Physician in Old Tappan, NJ
• Providers in Old Tappan, NJ by specialty
• Vascular Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; 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.