Carino Vascular Surgery MD PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

25MA03260800 Issued in NJ

Legal business name

CARINO VASCULAR SURGERY MD PC

Practice address

1037 RT. 46 East
Suite 103
Clifton, NJ 07013-2461

Phone

(856) 753-0913

Fax

(856) 753-4490

NPI assigned

Jul 23, 2007

Organization subpart

No

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

Authorized official

Name

Therese Ann Jarsen

Title

Billing Manager

Phone

(856) 753-0913

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1124228648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 RT. 46 EAST",
            "address_2": "SUITE 103",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132461",
            "telephone_number": "856-753-0913",
            "fax_number": "856-753-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 RT. 46 EAST",
            "address_2": "SUITE 103",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132461",
            "telephone_number": "856-753-0913",
            "fax_number": "856-753-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARINO VASCULAR SURGERY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "JARSEN",
        "authorized_official_first_name": "THERESE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "856-753-0913"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA03260800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; 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.