Active NPI
USA Vein Clinics of Toms River, LLC
- Vascular Surgery Physician
- Northbrook, IL
National Provider Identifier
1194180315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- Legal business name
- USA VEIN CLINICS OF TOMS RIVER, LLC
- Practice address
- 304 Wainwright Dr
Northbrook, IL 60062-1900 - Phone
- (847) 257-1244
- Fax
- (224) 246-8042
- NPI assigned
- Dec 15, 2015
- 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
- Melvonne Jones
- Title
- Manager
- Phone
- (847) 257-1244
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | Primary |
Addresses
Primary practice location
304 Wainwright Dr
Northbrook, IL 60062-1900
Mailing address
81 Route 37 W
Toms River, NJ 08755-6406
Phone (847) 257-1244
National Provider Directory
National Provider DirectoryLocations
81 Route 37 W
Toms River, NJ 08755
Phone (732) 333-6953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450137600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1450137600000",
"number": "1194180315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81 ROUTE 37 W",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087556406",
"telephone_number": "847-257-1244",
"fax_number": "224-246-8042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 WAINWRIGHT DR",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600621900",
"telephone_number": "847-257-1244",
"fax_number": "224-246-8042"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "USA VEIN CLINICS OF TOMS RIVER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-15",
"last_updated": "2015-12-15",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "MELVONNE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "847-257-1244"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.