Ace Vein & Wellness LLC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

ACE VEIN & WELLNESS LLC

Practice address

700 Kinderkamack Rd Ste 208
Oradell, NJ 07649-1533

Phone

(917) 749-5701

NPI assigned

Sep 18, 2024

Last updated

Sep 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chinweike IzeoguNPI 1598789141

Title

Owner

Phone

(917) 749-5701

Specialties & licenses 2

Addresses

Locations

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.

• Chinweike Izeogu, MD

  • Anesthesiology Physician
  • Livingston, NJ
  • NPI 1598789141

  Pain Medicine

  NPD Authorized official

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1336976786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 KINDERKAMACK RD STE 208",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076491533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 KINDERKAMACK RD STE 208",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076491533",
            "telephone_number": "917-749-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACE VEIN & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "IZEOGU",
        "authorized_official_first_name": "CHINWEIKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-749-5701",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 600 Kinderkamack Road Operating Company, LLC (Oradell Health Care Center)
• Aaa Healthcare Inc
• Accepting Change, LLC
• Adara Wellness
• Adrienne Barnave Holistic Psychiatry LLC
• Agape Abby Boxman LCSW LLC
• Tara Amanna, M.ED., LPC
• American Ambulatory Surgical Center Inc.

• Vascular & Interventional Radiology Physician in Oradell, NJ
• Providers in Oradell, 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 Sep 18, 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.