Vascular & Vein Center of New Jersey LLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

VASCULAR & VEIN CENTER OF NEW JERSEY LLC

Practice address

10 Industrial Way E Ste 103
Eatontown, NJ 07724-3332

Phone

(848) 257-1900

Fax

(848) 208-3445

NPI assigned

May 19, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Mohammad Nasir Khan, MDNPI 1619102662

Title

Owner

Phone

(848) 257-1900

Specialties & licenses 1

Addresses

Practitioners 1

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

• Mohammad Usman Nasir Khan, MBBS

  • Vascular Surgery Physician
  • Neptune, NJ
  • NPI 1619102662
  NPD Authorized official

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

{
    "created_epoch": "1558224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562630400000",
    "number": "1396301974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 INDUSTRIAL WAY E STE 103",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077243332",
            "telephone_number": "848-257-1900",
            "fax_number": "848-208-3445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 INDUSTRIAL WAY E STE 103",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077243332",
            "telephone_number": "848-257-1900",
            "fax_number": "848-208-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR & VEIN CENTER OF NEW JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-19",
        "last_updated": "2019-07-09",
        "status": "A",
        "authorized_official_last_name": "NASIR KHAN",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "848-257-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarangdev Vaidya
• Via Lorraine Valladores
• Saul Valle-Diaz, LMT
• Victoria Catherine Vallejo, PA-C
• Melissa Van Dillen, OTR/L
• Vascular & Vein Center of NJ LLC
• Vascular Access Center of Eatontown LLC
• Yevgeniy Vaysberg, M.D.
• Geanella Vera-Avellan, RDN
• Jean Magloire Verlus III, MD

• Vascular Surgery Physician in Eatontown, NJ
• Providers in Eatontown, 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 Jul 9, 2019; 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.