NPIMap

Organization Active NPI

VSH Medical & Diagnostic Center, Inc.

  • Health Maintenance Organization
  • Guttenberg, NJ
National Provider Identifier
1457796492
Registry record updated May 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
MA066179 Issued in NJ
Legal business name
VSH MEDICAL & DIAGNOSTIC CENTER, INC.
Practice address
6804 Bergenline Ave
Guttenberg, NJ 07093-1826
Phone
(201) 868-8686
Fax
(201) 868-0086
NPI assigned
May 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2013

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

Authorized official

Name
Dr. Emile I Rangel, M.D.
Title
Medical Director
Phone
(201) 868-8686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X MA066179 NJ Primary

Addresses

Primary practice location

6804 Bergenline Ave
Guttenberg, NJ 07093-1826

Mailing address

6804 Bergenline Ave
Guttenberg, NJ 07093-1826
Phone (201) 868-8686

National Provider Directory

National Provider Directory
Tax ID family
VSH Medical Diagnostic Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1367539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367539200000",
    "number": "1457796492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6804 BERGENLINE AVE",
            "city": "GUTTENBERG",
            "state": "NJ",
            "postal_code": "070931826",
            "telephone_number": "201-868-8686",
            "fax_number": "201-868-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6804 BERGENLINE AVE",
            "city": "GUTTENBERG",
            "state": "NJ",
            "postal_code": "070931826",
            "telephone_number": "201-868-8686",
            "fax_number": "201-868-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VSH MEDICAL & DIAGNOSTIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-03",
        "last_updated": "2013-05-03",
        "status": "A",
        "authorized_official_last_name": "RANGEL",
        "authorized_official_first_name": "EMILE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "201-868-8686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NJ",
            "license": "MA066179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guttenberg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; 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.