Active NPI
Vascular Associates of New Jersey
- Vascular Surgery Physician
- Livingston, NJ
National Provider Identifier
1497794713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- Legal business name
- VASCULAR ASSOCIATES OF NEW JERSEY
- Practice address
- 200 S Orange Ave
Livingston, NJ 07039-5817 - Phone
- (973) 322-7233
- Fax
- (973) 322-7499
- NPI assigned
- Jun 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bruce Brener
- Title
- President
- Phone
- (973) 322-7233
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | Primary |
Addresses
Primary practice location
200 S Orange Ave
Livingston, NJ 07039-5817
Mailing address
200 S Orange Ave
Livingston, NJ 07039-5817
Phone (973) 322-7233
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0074977 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
200 S Orange Ave
Livingston, NJ 07039
Phone (973) 322-7007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1497794713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 S ORANGE AVE",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070395817",
"telephone_number": "973-322-7233",
"fax_number": "973-322-7499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S ORANGE AVE",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070395817",
"telephone_number": "973-322-7233",
"fax_number": "973-322-7499"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VASCULAR ASSOCIATES OF NEW JERSEY",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BRENER",
"authorized_official_first_name": "BRUCE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "973-322-7233",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0074977",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Livingston, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.