Center for Vascular Disorders, P.a.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

25MA04440600 Issued in NJ

Legal business name

CENTER FOR VASCULAR DISORDERS, P.A.

Practice address

236 E Westfield Ave
Suite 4
Roselle Park, NJ 07204-2084

Phone

(908) 241-2401

Fax

(908) 241-2402

NPI assigned

Mar 7, 2007

Last updated

Jan 16, 2009By 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

Pedro Evelio Cordero, M.D.NPI 1295896231

Title

President

Phone

(908) 241-2401

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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.

• Pedro Evelio Cordero, M.D.

  • Surgery Physician
  • Roselle Park, NJ
  • NPI 1295896231
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232064000000",
    "number": "1487785119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 E WESTFIELD AVE",
            "address_2": "SUITE 4",
            "city": "ROSELLE PARK",
            "state": "NJ",
            "postal_code": "072042084",
            "telephone_number": "908-241-2401",
            "fax_number": "908-241-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 E WESTFIELD AVE",
            "address_2": "SUITE 4",
            "city": "ROSELLE PARK",
            "state": "NJ",
            "postal_code": "072042084",
            "telephone_number": "908-241-2401",
            "fax_number": "908-241-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR VASCULAR DISORDERS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2009-01-16",
        "status": "A",
        "authorized_official_last_name": "CORDERO",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "EVELIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-241-2401",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA04440600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3397904",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gravianna Cajuste
• Brenda Hocamis Calinawan
• Frank Carotenuto
• Carroll Health and Wellness
• Oscar Castillo, R N
• Kara Nicole Churylo, PA-C
• Nicola W Cicchetti, D.M.D.
• Mark P. Cohen, DDS
• Compassionate Healthcare Service LLC
• Louis J Conte, DO

• Surgery Physician in Roselle Park, NJ
• Providers in Roselle Park, NJ by specialty
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; 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.