North American Vein & Artery LLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

NORTH AMERICAN VEIN & ARTERY LLC

Practice address

404 Creek Crossing Blvd
Hainesport, NJ 08036-2768

Phone

(267) 699-3075

NPI assigned

Nov 14, 2025

Last updated

Nov 14, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Renee Bogdol

Title

Revenue Cycle Director

Phone

(267) 699-3075

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 2

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.

• Pratik A Shukla, M.D.

  • Diagnostic Radiology Physician
  • Newark, NJ
  • NPI 1457614141
  Medicare reassignment
• Amir N. Salem, M.D.

  • Vascular & Interventional Radiology Physician
  • New York, NY
  • NPI 1326487513

  NJ

  Medicare reassignment

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

{
    "created_epoch": "1763078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1487514147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 CREEK CROSSING BLVD",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "080362768",
            "telephone_number": "267-699-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 CREEK CROSSING BLVD",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "080362768",
            "telephone_number": "267-699-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH AMERICAN VEIN & ARTERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-14",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "BOGDOL",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "267-699-3075",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Earle Bruce Myers, D.P.M.
• Naspac1 LLC
• Naspac1 LLC (North american spine and pain consultants)
• Yanelle Nieves
• North American Medical Associates-Ny LLC
• Gary Thomas Noseworthy, D.C.
• Oaks Integrated Care
• Ugoada Okigbo, B.A.
• Heidi Okpebholo
• Raquel Anna Ortiz, BA

• Vascular Surgery Physician in Hainesport, NJ
• Providers in Hainesport, NJ by specialty
• Vascular Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; 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.