Organization Active NPI

Vast Array Corporation

  • Customized Equipment (DME)
  • Lakewood, NJ
National Provider Identifier
1265897888
Registry record updated Dec 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
VAST ARRAY CORPORATION
Practice address
1000 Bennett Blvd
Suite 8
Lakewood, NJ 08701-5944
Phone
(732) 279-4939
Fax
(732) 279-4522
NPI assigned
Dec 26, 2015
Last updated
Dec 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2015

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

Authorized official

Name
Ms. Terri Lei Beideman
Title
Chief Executive Officer
Phone
(732) 279-4939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X NJ Primary

Addresses

Primary practice location

1000 Bennett Blvd
Suite 8
Lakewood, NJ 08701-5944

Mailing address

1000 Bennett Blvd
Suite 8
Lakewood, NJ 08701-5944
Phone (732) 279-4939

National Provider Directory

National Provider Directory

Locations

1000 Bennett Blvd
Ste 8
Lakewood, NJ 08701
Phone (732) 279-4939

Practitioners & affiliated clinicians

Practitioners 1

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": "1451088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451088000000",
    "number": "1265897888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BENNETT BLVD",
            "address_2": "SUITE 8",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015944",
            "telephone_number": "732-279-4939",
            "fax_number": "732-279-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BENNETT BLVD",
            "address_2": "SUITE 8",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015944",
            "telephone_number": "732-279-4939",
            "fax_number": "732-279-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAST ARRAY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-26",
        "last_updated": "2015-12-26",
        "status": "A",
        "authorized_official_last_name": "BEIDEMAN",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "LEI",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "732-279-4939",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.

Verify at the official NPI Registry.