MVC Clinical Practice - NJ PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

MVC CLINICAL PRACTICE - NJ PC

Doing business as

Metro Vein Centers

Practice address

83 Hanover Rd Ste 260
Florham Park, NJ 07932-1520

Phone

(248) 855-5355

Fax

(248) 855-5455

NPI assigned

May 23, 2019

Last updated

Sep 12, 2019By 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

Jordan Garrison, MD

Title

Owner

Phone

(248) 855-5355

Specialties & licenses 4

Addresses

Other names 1

• Metro Vein Centers Doing business as

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568246400000",
    "number": "1528625613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7125 ORCHARD LAKE RD STE 316",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223629",
            "telephone_number": "248-855-5355",
            "fax_number": "248-855-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 HANOVER RD STE 260",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321520",
            "telephone_number": "248-855-5355",
            "fax_number": "248-855-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MVC CLINICAL PRACTICE - NJ PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-23",
        "last_updated": "2019-09-12",
        "status": "A",
        "authorized_official_last_name": "GARRISON",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-855-5355",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Vein Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Metro Vein Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Yongqing Mu, NP
• Rose Olivia Mullaghy, OTR/L
• Jaret Muller
• Muntasir Khaled, DPM LLC (Foot & Ankle Specialists No Jersey)
• Erin M Murphy, MA, LPC
• Vaisak Nair
• Brian A Nandy, LPC
• Nicole Nardiello, APN
• Anita Nash, RN, MSN, APN, AGNP-C
• Saad Nasir, MD

• Surgery Physician in Florham Park, NJ
• Providers in Florham 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 Sep 12, 2019; 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.