Organization Active NPI

USA Vascular Center of New Jersey LLC

  • Vascular Surgery Physician
  • Orange, NJ
National Provider Identifier
1437701729
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
USA VASCULAR CENTER OF NEW JERSEY LLC
Practice address
272 Main St Ste a
Orange, NJ 07050-3605
Phone
(847) 593-8460
Fax
(224) 235-4652
NPI assigned
Jul 16, 2019
Last updated
Jul 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Authorized official

Name
Ami Almeda
Title
Credentialing Manager
Phone
(224) 318-0118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X Primary

Addresses

Primary practice location

272 Main St Ste a
Orange, NJ 07050-3605

Mailing address

PO Box 353
Northbrook, IL 60065-0353
Phone (847) 593-8460

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200915000443 NJ Part B Supplier - Clinic/Group Practice 1759709371 Receives reassigned benefits from 18 practitioners
Practice locations: Orange, NJ; Paramus, NJ; Passaic, NJ; Trenton, NJ; Union City, NJ

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
31D2215667USA Vascular Ctr of New Jersey LLC - Orange272 Main Street, Orange, NJ 07050ComplianceDec 10, 2026

National Provider Directory

National Provider Directory

Locations

272 Main St
#A
Orange, NJ 07050
Phone (862) 212-1084

30 W Century Rd
Ste 215A
Paramus, NJ 07652

700 Main Ave
#A
Passaic, NJ 07055

700 Main Ave
Ste A
Passaic, NJ 07055

50 E State St
Ste 100A
Trenton, NJ 08608
Phone (609) 900-3134

50 E State St
Ste 10A
Trenton, NJ 08608

50 E State St
Ste A
Trenton, NJ 08608
Phone (609) 900-3134

4201 Bergenline Ave
#1A
Union City, NJ 07087

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563235200000",
    "number": "1437701729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 353",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600650353",
            "telephone_number": "847-593-8460",
            "fax_number": "224-235-4652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 MAIN ST STE A",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "070503605",
            "telephone_number": "847-593-8460",
            "fax_number": "224-235-4652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USA VASCULAR CENTER OF NEW JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A",
        "authorized_official_last_name": "ALMEDA",
        "authorized_official_first_name": "AMI",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "224-318-0118"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.