CCC Vein Care LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

25MA07010400 Issued in NJ

Legal business name

CCC VEIN CARE LLC

Practice address

103 River Rd
Suite202
Edgewater, NJ 07020-1016

Phone

(201) 605-3035

Fax

(201) 941-1235

NPI assigned

Sep 20, 2011

Last updated

Sep 20, 2011By 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

Dr. Irfan M Admani, MD

Title

President

Phone

(201) 605-3035

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316476800000",
    "number": "1598048233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 RIVER RD",
            "address_2": "SUITE202",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201016",
            "telephone_number": "201-605-3035",
            "fax_number": "201-941-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 RIVER RD",
            "address_2": "SUITE202",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201016",
            "telephone_number": "201-605-3035",
            "fax_number": "201-941-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCC VEIN CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-20",
        "last_updated": "2011-09-20",
        "status": "A",
        "authorized_official_last_name": "ADMANI",
        "authorized_official_first_name": "IRFAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-605-3035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA07010400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Cano Baamonde
• Care Medical New Jersey, P.C
• Leidys Casey
• Melvin Casey
• Enrique Rudiber Castellanos, NP
• Yung Cha, LMFT
• George Chai, MD
• Amanda Chavez-Loyo, LPC
• Minji Cho
• Alexander Changhyun Choe, DDS

• Cardiovascular Disease Physician in Edgewater, NJ
• Providers in Edgewater, NJ by specialty
• Cardiovascular Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; 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.