Organization Active NPI

Vein Treatment Access Care LLC

  • Ambulatory Surgical Clinic/Center
  • North Brunswick, NJ
National Provider Identifier
1437654084
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
VEIN TREATMENT ACCESS CARE LLC
Practice address
215A N Center Dr
North Brunswick, NJ 08902-4247
Phone
(732) 305-6556
NPI assigned
Mar 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

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

Authorized official

Name
Alexander Lev, RN
Title
Clinical Director
Phone
(732) 305-6556

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
Ambulatory Surgical Clinic/Center 261QA1903X NJ Primary

Addresses

Primary practice location

215A N Center Dr
North Brunswick, NJ 08902-4247

Mailing address

215A N Center Dr
North Brunswick, NJ 08902-4247
Phone (732) 305-6556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190107000360 NJ Part B Supplier - Ambulatory Surgical Center 9638415045 Receives reassigned benefits from 3 practitioners
Practice locations: North Brunswick, NJ

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Vein Treatment Access Care LLCCCN 31C0001342
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2232611Vein Treatment Access Care LLC215A N Center Drive, North Brunswick, NJ 08902Certificate of waiverAug 15, 2027

National Provider Directory

National Provider Directory

Locations

215A N Center Dr
North Brunswick, NJ 08902
Phone (732) 305-6556

Practitioners & affiliated clinicians

Practitioners 3

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": "1522108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522108800000",
    "number": "1437654084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215A N CENTER DR",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089024247",
            "telephone_number": "732-305-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215A N CENTER DR",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089024247",
            "telephone_number": "732-305-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEIN TREATMENT ACCESS CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-27",
        "last_updated": "2018-03-27",
        "status": "A",
        "authorized_official_last_name": "LEV",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "732-305-6556",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.