Vitreo Retinal Associates of NJ PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

VITREO RETINAL ASSOCIATES OF NJ PA

Practice address

36 Newark Ave
Suite 212
Belleville, NJ 07109-4119

Phone

(973) 751-8808

Fax

(973) 751-3095

NPI assigned

Jun 6, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Francis E Cangemi, MD

Title

Owner

Phone

(973) 751-8808

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282694400000",
    "number": "1366482838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 NEWARK AVE",
            "address_2": "SUITE 212",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071094119",
            "telephone_number": "973-751-8808",
            "fax_number": "973-751-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 NEWARK AVE",
            "address_2": "SUITE 212",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071094119",
            "telephone_number": "973-751-8808",
            "fax_number": "973-751-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITREO RETINAL ASSOCIATES OF NJ PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2010-08-25",
        "status": "A",
        "authorized_official_last_name": "CANGEMI",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-751-8808",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2963400",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CF8219",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; 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.