Organization Active NPI

North East Laser Vein Institute LLC

  • Vascular Surgery Physician
  • Ridgewood, NJ
National Provider Identifier
1376875310
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
25MA03301900 Issued in NJ
Legal business name
NORTH EAST LASER VEIN INSTITUTE LLC
Practice address
257 E Ridgewood Ave
Suite 302
Ridgewood, NJ 07450-3886
Phone
(201) 445-4410
Fax
(201) 444-7594
NPI assigned
Feb 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Authorized official

Name
Dr. Naweed K Majid, M.D.
Title
President
Phone
(201) 445-4410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X 25MA03301900 NJ Primary

Addresses

Primary practice location

257 E Ridgewood Ave
Suite 302
Ridgewood, NJ 07450-3886

Mailing address

257 E Ridgewood Ave
Suite 302
Ridgewood, NJ 07450-3886
Phone (201) 445-4410

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349827200000",
    "number": "1376875310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 E RIDGEWOOD AVE",
            "address_2": "SUITE 302",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503886",
            "telephone_number": "201-445-4410",
            "fax_number": "201-444-7594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 E RIDGEWOOD AVE",
            "address_2": "SUITE 302",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503886",
            "telephone_number": "201-445-4410",
            "fax_number": "201-444-7594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH EAST LASER VEIN INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-01",
        "last_updated": "2012-10-10",
        "status": "A",
        "authorized_official_last_name": "MAJID",
        "authorized_official_first_name": "NAWEED",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-445-4410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "NJ",
            "license": "25MA03301900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; 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.