Active NPI
Veracon Inc
- Cardiovascular Disease Physician
- Philadelphia, PA
National Provider Identifier
1558600635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- VERACON INC
- Practice address
- 2511 S Broad St
Philadelphia, PA 19148-4309 - Phone
- (856) 873-7273
- NPI assigned
- Feb 8, 2013
- 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
- James N Bryant, RDCS, RVT
- Title
- Echocardiographer/Vascular Tech
- Phone
- (856) 873-7273
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | NJ | Primary |
Addresses
Primary practice location
2511 S Broad St
Philadelphia, PA 19148-4309
Mailing address
71 Greens Way
Blackwood, NJ 08012-5574
Phone (856) 873-7273
National Provider Directory
National Provider Directory- Tax ID family
- Veracon Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Multi-Specialty Clinic/Center
- Philadelphia, PA
- NPI 1942436738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1361059200000",
"number": "1558600635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 GREENS WAY",
"city": "BLACKWOOD",
"state": "NJ",
"postal_code": "080125574",
"telephone_number": "856-873-7273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2511 S BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191484309",
"telephone_number": "856-873-7273"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VERACON INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-08",
"last_updated": "2013-02-17",
"status": "A",
"authorized_official_last_name": "BRYANT",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "ECHOCARDIOGRAPHER/VASCULAR TECH",
"authorized_official_telephone_number": "856-873-7273",
"authorized_official_credential": "RDCS, RVT"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.