Avance Vein Care LLC

Key facts

NPI

1376415133

Entity type

Organization (NPI type 2)

Primary specialty

Vascular Surgery Physician 2086S0129X

Legal business name

AVANCE VEIN CARE LLC

Practice address

1 Wilson Dr
Sparta, NJ 07871-4416

Phone

(417) 849-8450

NPI assigned

Sep 22, 2025

Organization subpart

No

Authorized official

Name

Satish Tadepalli, MD NPI 1972066652

Title

Medical Provider

Phone

(417) 849-8450

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Satish Tadepalli, MD Internal Medicine Physician · Sparta, NJ · NPI 1972066652
  NPD Authorized official INTERNAL MEDICINE

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 17, 2026.

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1376415133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WILSON DR",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078714416",
            "telephone_number": "929-260-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WILSON DR",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078714416",
            "telephone_number": "417-849-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVANCE VEIN CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-22",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "TADEPALLI",
        "authorized_official_first_name": "SATISH",
        "authorized_official_title_or_position": "MEDICAL PROVIDER",
        "authorized_official_telephone_number": "417-849-8450",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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