Individual provider Active NPI

Paul S. Brady, MD

  • Vascular & Interventional Radiology Physician
  • Vineland, NJ
National Provider Identifier
1407892722
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
25MA12518800 Issued in NJ
Practice address
994 W Sherman Ave BLDG 2
Vineland, NJ 08360-6937
Phone
(631) 534-7246
Fax
(856) 457-5681
NPI assigned
Jun 22, 2006
Last updated
Mar 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD418635 PA
Neuroradiology Physician 2085N0700X MD418635 PA
Diagnostic Radiology Physician 2085R0202X MD418635 PA
Diagnostic Radiology Physician 2085R0202X 25MA12518800 NJ
Vascular & Interventional Radiology Physician 2085R0204X MD418635 PA
Vascular & Interventional Radiology Physician 2085R0204X 25MA12518800 NJ Primary

Addresses

Primary practice location

994 W Sherman Ave BLDG 2
Vineland, NJ 08360-6937

Mailing address

994 W Sherman Ave BLDG 2
Vineland, NJ 08360-6937
Phone (631) 534-7246

Other identifiers 1

IdentifierTypeStateIssuer
0019066520001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110406000212 PA Practitioner - Interventional Radiology 9739363342 Reassigns benefits to 1 organization
I20250318001912 NJ Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 9739363342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulse Vascular LLCGroup PAC ID 7618219361, 34 clinicians

Practice addresses (Care Compare)

994 W Sherman Ave
Vineland, NJ 08360-6937

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pulse Vascular, LLC Vascular & Interventional Radiology CurrentSince Apr 1, 2025 Accepting new patients
Einstein Practice Plan Inc Diagnostic Radiology CurrentSince Jul 19, 2002 Accepting new patients
Einstein Practice Plan Inc CurrentSince Jul 19, 2002 Accepting new patients
Einstein Practice Plan Inc Current Accepting new patients

Locations

206 Bergen Ave
Ste 207
Kearny, NJ 07032
Phone (631) 534-7246

994 W Sherman Ave
Bldg 2
Vineland, NJ 08360
Phone (631) 534-7246

994 W Sherman Ave
Unit 3
Vineland, NJ 08360
Phone (631) 534-7246

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

5501 York Rd
Philadelphia, PA 19141
Phone (215) 456-7405

5501 York Rd
Ste 202
Philadelphia, PA 19141
Phone (215) 254-2630

Interoperability endpoints

  • Direct secure messaging: paul.brady@direct.einstein.edu

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1407892722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "994 W SHERMAN AVE BLDG 2",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606937",
            "telephone_number": "631-534-7246",
            "fax_number": "856-457-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "994 W SHERMAN AVE BLDG 2",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606937",
            "telephone_number": "631-534-7246",
            "fax_number": "856-457-5681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "PAUL",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PA",
            "license": "MD418635",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "PA",
            "license": "MD418635",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD418635",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA12518800",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PA",
            "license": "MD418635",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NJ",
            "license": "25MA12518800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019066520001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.