NPIMap

Organization Active NPI

NJ Vein Specialists

  • Vascular Surgery Physician
  • Glen Rock, NJ
National Provider Identifier
1437866878
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
NJ VEIN SPECIALISTS
Doing business as
NJ Vein Specialists
Practice address
208 Harristown Rd # Level1
Glen Rock, NJ 07452-3308
Phone
(201) 371-3932
Fax
(201) 514-1434
NPI assigned
Nov 4, 2022
Last updated
Nov 4, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
PROGRESSIVE SPINE & ORTHOPAEDICS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Authorized official

Name
Ms. Jennifer Jennaco
Title
Administrator
Phone
(201) 371-3932

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

208 Harristown Rd # Level1
Glen Rock, NJ 07452-3308

Mailing address

PO Box 500
Marlboro, NJ 07746-0500
Phone (201) 371-3932

Other practice location 1

3 Progress St Ste 102
Edison, NJ 08820-1180
Phone (201) 371-3932

Other names 1

  • NJ VEIN SPECIALISTS Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.njveinspecialists.com/

National Provider Directory

National Provider Directory
Tax ID family
Progressive Spine Ortho4 organizations share this tax ID, including this one
Part of
Progressive Spine Ortho

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667520000000",
    "number": "1437866878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 500",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077460500",
            "telephone_number": "201-371-3932",
            "fax_number": "201-514-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 HARRISTOWN RD # LEVEL1",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074523308",
            "telephone_number": "201-371-3932",
            "fax_number": "201-514-1434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Progress St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088201180",
            "country_code": "US",
            "telephone_number": "201-371-3932",
            "fax_number": "201-514-1434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NJ VEIN SPECIALISTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROGRESSIVE SPINE & ORTHOPAEDICS, LLC",
        "enumeration_date": "2022-11-04",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A",
        "authorized_official_last_name": "JENNACO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "201-371-3932",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.njveinspecialists.com/",
            "affiliation": "N",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "208 Harristown Rd # Level1",
            "city": "Glen Rock",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074523308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "NJ VEIN SPECIALISTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glen Rock, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.