Vascular Access Center of West Orange, LLC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

VASCULAR ACCESS CENTER OF WEST ORANGE, LLC

Practice address

347 Mount Pleasant Ave
Suite 100
West Orange, NJ 07052-2724

Phone

(215) 382-3680

NPI assigned

Mar 7, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Seth Sharpe

Title

Chief Executive Officer

Phone

(215) 382-3680

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590451200000",
    "number": "1336279108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38574",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191048574",
            "telephone_number": "215-382-0680",
            "fax_number": "215-240-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 MOUNT PLEASANT AVE",
            "address_2": "SUITE 100",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522724",
            "telephone_number": "215-382-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR ACCESS CENTER OF WEST ORANGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A",
        "authorized_official_last_name": "SHARPE",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "215-382-3680",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0164631",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Vascular & Interventional Radiology Physician in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Vascular & Interventional Radiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; 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.