Individual provider Active NPI

John Rundback, M.D.

  • Vascular & Interventional Radiology Physician
  • Teaneck, NJ
National Provider Identifier
1255367280
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
MA079791 Issued in NJ
Practice address
718 Teaneck Rd
Teaneck, NJ 07666-4245
Phone
(201) 227-6210
Fax
(201) 643-3077
NPI assigned
Jun 23, 2006
Last updated
Jun 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X MA079791 NJ Primary

Addresses

Primary practice location

718 Teaneck Rd
Teaneck, NJ 07666-4245

Mailing address

PO Box 305
Briarcliff Manor, NY 10510-0405
Phone (201) 227-6210

Other identifiers 1

IdentifierTypeStateIssuer
6299806MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040517001150 NY Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 7618967019 Reassigns benefits to 2 organizations
I20060120000216 NJ Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 7618967019 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
State University of New York Downstate Medical Center, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garden State Healthcare Associates LLCGroup PAC ID 8426190687, 171 clinicians
NJ Endovascular and Amputation Prevention, LLCGroup PAC ID 2961764493, 4 clinicians
Peace Health Partners, PCGroup PAC ID 6709776222, 33 clinicians

Practice addresses (Care Compare)

308 Willow Ave
Hoboken, NJ 07030-3808
Phone (201) 418-1000

347 Mount Pleasant Ave
Suite 100
West Orange, NJ 07052-2745
Phone (973) 419-6315

718 Teaneck Rd
Teaneck, NJ 07666-4245
Phone (201) 833-3280

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA079791NJMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey Steven Aronoff MD PC CurrentSince Sep 3, 2025 Accepting new patients
Garden State Cardiovascular Specialists P.C CurrentSince Jul 1, 2020 Accepting new patients
West Orange Endovascular Center LLC Vascular & Interventional Radiology Current Accepting new patients
Premier Medical of NJ CurrentSince Sep 3, 2025 Accepting new patients
Central Avenue Professional Services, PC CurrentSince May 2, 2022 Accepting new patients
Hudson MD Group CurrentSince Feb 1, 2021 Accepting new patients
Hudson Premier Medical PC Vascular & Interventional Radiology CurrentSince Mar 1, 2020 Accepting new patients
Sinai Diagnostics and Interventional Radiology, P.C. CurrentSince May 15, 2021 Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Jun 15, 2025 Accepting new patients
NJ Endovascular & Amputation Prevention LLC Vascular & Interventional Radiology CurrentSince Feb 24, 2018 Accepting new patients
Trustees of Columbia University in the City of New York Past Accepting new patients
Columbia/Newyork-Presbyterian Advanced Imaging Inc. Past Accepting new patients
New Jersey Perinatal Assoc. LLC PastSince Aug 1, 2011 Accepting new patients
David W. Lee MD PA PastSince Feb 6, 2007 Accepting new patients
Trustees of Columbia University in the City of New York Vascular & Interventional Radiology Past Accepting new patients

Locations

999 Clifton Ave
Ste 1
Clifton, NJ 07013
Phone (212) 888-5932

1625 Anderson Ave
Ste 204
Fort Lee, NJ 07024
Phone (201) 224-0011

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

176 Palisade Ave
Jersey City, NJ 07306
Phone (201) 795-8200

520 N Wood Ave
Linden, NJ 07036
Phone (908) 587-1330

111 Central Ave
Newark, NJ 07102
Phone (973) 877-5060

635 Market St
Newark, NJ 07105
Phone (201) 952-6520

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744

347 Mount Pleasant Ave
Ste 100
West Orange, NJ 07052
Phone (973) 325-0042

347 Mount Pleasant Ave
Ste 201
West Orange, NJ 07052
Phone (973) 419-6315

2560 Ocean Ave
Brooklyn, NY 11229
Phone (718) 615-4100

182 Industrial Rd
Glen Rock, PA 17327
Phone (717) 235-9352

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1255367280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 305",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "105100405",
            "telephone_number": "201-227-6210",
            "fax_number": "201-643-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 TEANECK RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664245",
            "telephone_number": "201-227-6210",
            "fax_number": "201-643-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNDBACK",
        "first_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NJ",
            "license": "MA079791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6299806",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.