Active NPI
Vein Treatment Center
- Vascular Surgery Physician
- Paramus, NJ
National Provider Identifier
1154622801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 25MA03989100
- Legal business name
- VEIN TREATMENT CENTER
- Practice address
- 1 W Ridgewood Ave
#306
Paramus, NJ 07652-2361 - Phone
- (201) 612-1750
- Fax
- (201) 612-1760
- NPI assigned
- Nov 11, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dean Wasserman, MD
- Title
- Physician
- Phone
- (201) 612-1750
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 25MA03989100 | NJ | Primary |
Addresses
Primary practice location
1 W Ridgewood Ave
#306
Paramus, NJ 07652-2361
Mailing address
1 W Ridgewood Ave
#306
Paramus, NJ 07652-2361
Phone (201) 612-1750
National Provider Directory
National Provider DirectoryLocations
1 W Ridgewood Ave
Ste 306
Paramus, NJ 07652
Phone (201) 612-1750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289433600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289433600000",
"number": "1154622801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 W RIDGEWOOD AVE",
"address_2": "#306",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076522361",
"telephone_number": "201-612-1750",
"fax_number": "201-612-1760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 W RIDGEWOOD AVE",
"address_2": "#306",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076522361",
"telephone_number": "201-612-1750",
"fax_number": "201-612-1760"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VEIN TREATMENT CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-11",
"last_updated": "2010-11-11",
"status": "A",
"authorized_official_last_name": "WASSERMAN",
"authorized_official_first_name": "DEAN",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "201-612-1750",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": "NJ",
"license": "25MA03989100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paramus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.