Cosmetic Vein Center, LLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

COSMETIC VEIN CENTER, LLC

Practice address

265 Ackerman Ave
Suite 203
Ridgewood, NJ 07450-4200

Phone

(201) 445-8820

Fax

(201) 445-8850

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Diane Frances Chuback, PH.D.

Title

Practice Administrator

Phone

(201) 445-8820

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• John Asghar Chuback, JOHN CHUBACK, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Paramus, NJ
  • NPI 1124071261
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1376662312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 ACKERMAN AVENUE",
            "address_2": "SUITE 203",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074500745",
            "telephone_number": "201-445-8820",
            "fax_number": "201-445-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 ACKERMAN AVE",
            "address_2": "SUITE 203",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504200",
            "telephone_number": "201-445-8820",
            "fax_number": "201-445-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMETIC VEIN CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "CHUBACK",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "FRANCES",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "201-445-8820",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan P Coral, MS, LMFT
• John Robert Corbisiero, PH.D.
• Timothy J Corey, MD
• Corporate Family Resources, Inc.
• Tanner Donovan Corse, MD
• Gina Cotugno, NP
• James R Cowan Jr., M.D.
• Emily Coyle, APN
• Jessica M Creighton Bodre
• Arnold Criscitiello, M.D.

• Vascular Surgery Physician in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Vascular Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.