Paul P Vessa, MD

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

25MA05028500 Issued in NJ

Practice address

1 Robertson Drive
Suite 11
Bedminster, NJ 07921

Phone

(908) 234-9200

Fax

(908) 722-6318

NPI assigned

Jul 5, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 1, 2023 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ambulatory Surgical Center of Somerset

  • Ambulatory Surgical Clinic/Center
  • Bridgewater, NJ
  • NPI 1336382076
  NPD (past)

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1508863663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ROBERTSON DRIVE",
            "address_2": "SUITE 11",
            "city": "BEDMINSTER",
            "state": "NJ",
            "postal_code": "07921",
            "telephone_number": "908-234-9200",
            "fax_number": "908-722-6318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ROBERTSON DRIVE",
            "address_2": "SUITE 11",
            "city": "BEDMINSTER",
            "state": "NJ",
            "postal_code": "07921",
            "telephone_number": "908-234-9200",
            "fax_number": "908-722-6318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VESSA",
        "first_name": "PAUL",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA05026500",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NJ",
            "license": "25MA05028500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Trend, M.D.
• Tri-County Orthopaedic & Sports Medicine PA
• Laquanda K Turner, LCSW
• Doreen Vallier, PHARMD
• Catherine Varano, M.D.
• Amanda J Villamar, LSW
• Zeal Mungra Vyas
• Jordan Sarah Wachtel
• Annie Wang
• Martin Wawszkowicz, PT

• Orthopaedic Surgery of the Spine Physician in Bedminster, NJ
• Providers in Bedminster, NJ by specialty
• Orthopaedic Surgery of the Spine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.