Heritage Vascular PC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

HERITAGE VASCULAR PC

Practice address

663 E Crescent Ave Ste 111
Ramsey, NJ 07446-1220

Phone

(201) 283-4363

NPI assigned

Jan 15, 2019

Last updated

Jul 10, 2023By 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

Nirman Tulsyan, MD

Title

Ceo

Phone

(201) 283-4363

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1568936326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "663 E CRESCENT AVE STE 111",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074461220",
            "telephone_number": "201-283-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "663 E CRESCENT AVE STE 111",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074461220",
            "telephone_number": "201-283-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE VASCULAR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-15",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "TULSYAN",
        "authorized_official_first_name": "NIRMAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "201-283-4363",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROV LIC NUMBER",
            "identifier": "25MA08054200",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.