NPIMap

Organization Active NPI

New Jersey Heart and Vein LLC

  • Cardiovascular Disease Physician
  • Clifton, NJ
National Provider Identifier
1437859832
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
NEW JERSEY HEART AND VEIN LLC
Practice address
855 Valley Rd Ste 112B
Clifton, NJ 07013-2441
Phone
(973) 327-5000
Fax
(973) 327-5555
NPI assigned
Mar 6, 2023
Last updated
Aug 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Authorized official

Name
Dr. Joseph A Daibes, DONPI 1841652930
Title
President/Physician
Phone
(973) 327-5000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

855 Valley Rd Ste 112B
Clifton, NJ 07013-2441

Mailing address

855 Valley Rd Ste 112B
Clifton, NJ 07013-2441
Phone (973) 327-5000

Other identifiers 1

IdentifierTypeStateIssuer
25MB10927700OtherNJSTATE LICENSE

Other names 1

  • New Jersey Heart and Vein Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230429000177 NJ Part B Supplier - Clinic/Group Practice 6406211259 Receives reassigned benefits from 7 practitioners
Practice locations: Clifton, NJ; West Orange, NJ; Hackensack, NJ

National Provider Directory

National Provider Directory

Locations

855 Valley Rd
Ste 112B
Clifton, NJ 07013
Phone (973) 220-8011

2 University Plz
Fl 5
Hackensack, NJ 07601
Phone (973) 327-5000

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1437859832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 VALLEY RD STE 112B",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132441",
            "telephone_number": "973-327-5000",
            "fax_number": "973-327-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 VALLEY RD STE 112B",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132441",
            "telephone_number": "973-327-5000",
            "fax_number": "973-327-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY HEART AND VEIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "DAIBES",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "973-327-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "25MB10927700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Jersey Heart and Vein",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "New Jersey Heart and Vein",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.