NPIMap

Organization Active NPI

NJ Vip Medical Services LLC

  • Phlebology Physician
  • Clifton, NJ
National Provider Identifier
1265294227
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
Legal business name
NJ VIP MEDICAL SERVICES LLC
Practice address
1117 Route 46 Ste 205
Clifton, NJ 07013-2450
Phone
(973) 500-6768
NPI assigned
Jan 25, 2024
Last updated
Jan 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Authorized official

Name
Michael Nguyen, MDNPI 1730380478
Title
Owner
Phone
(917) 920-3006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 202K00000X Primary

Addresses

Primary practice location

1117 Route 46 Ste 205
Clifton, NJ 07013-2450

Mailing address

244 Madison Aveune
#1100
New York, NY 10016-2450
Phone (973) 500-6768

National Provider Directory

National Provider Directory

Locations

1117 US Highway 46
Ste 205
Clifton, NJ 07013
Phone (973) 471-0981

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1265294227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 MADISON AVEUNE",
            "address_2": "#1100",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162450",
            "telephone_number": "973-500-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 ROUTE 46 STE 205",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132450",
            "telephone_number": "973-500-6768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ VIP MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-920-3006",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Phlebology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.