West Orange Endovascular Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

WEST ORANGE ENDOVASCULAR CENTER LLC

Practice address

347 Mount Pleasant Ave Ste 100
West Orange, NJ 07052-2745

Phone

(973) 719-6586

Fax

(973) 947-6647

NPI assigned

Feb 3, 2022

Organization subpart

No

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

Authorized official

Name

David Delvecchio

Title

Ceo

Phone

(973) 508-8319

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Ambulatory surgical center certification: CCN 31C0001357

Legal name

WEST ORANGE ENDOVASCULAR CENTER LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Mar 21, 2023

Last certification

Mar 8, 2023

Ownership / control type

Proprietary

Facility address

347 Mount Pleasant Ave, Ste 100
West Orange, NJ 07052

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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

• Kevin Herman, M.D.

  • Vascular & Interventional Radiology Physician
  • Teaneck, NJ
  • NPI 1619107703
  NPD
• John Rundback, M.D.

  • Vascular & Interventional Radiology Physician
  • Teaneck, NJ
  • NPI 1255367280
  NPD

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783382400000",
    "number": "1255084786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 MOUNT PLEASANT AVE STE 100",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522745",
            "telephone_number": "973-947-6586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 MOUNT PLEASANT AVE STE 100",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522745",
            "telephone_number": "973-719-6586",
            "fax_number": "973-947-6647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST ORANGE ENDOVASCULAR CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-03",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A",
        "authorized_official_last_name": "DELVECCHIO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-508-8319"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellbeing Psychology LLC
• Nicole M Wells-Cimmino, LCSW
• West Orange ASC LLC
• West Orange ASC LLC
• West Orange Board of Education
• West Orange First Aid Squad Inc
• West Orange NJ Endoscopy ASC LLC
• West Orange Pediatrics
• West Orange Pharmacy Inc
• West Orange Radiology, LLC

• Ambulatory Surgical Clinic/Center in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Ambulatory Surgical Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.