NPIMap

Organization Active NPI

Premier Surgical & Premier Vein Center LLC

  • Surgery Physician
  • Brick, NJ
National Provider Identifier
1609274810
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25MA07404200 Issued in NJ
Legal business name
PREMIER SURGICAL & PREMIER VEIN CENTER LLC
Practice address
525 Route 70 East Suite 1B
Brick, NJ 08723-4022
Phone
(732) 262-1600
Fax
(732) 262-1606
NPI assigned
Dec 22, 2014
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Jarrod Kaufman, MD
Title
Owner
Phone
(732) 262-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 25MA07404200 NJ Primary

Addresses

Primary practice location

525 Route 70 East Suite 1B
Brick, NJ 08723-4022

Mailing address

525 Route 70 East Suite 1B
Brick, NJ 08723-4022
Phone (732) 262-1600

National Provider Directory

National Provider Directory

Locations

525 Route 70
Ste 1B
Brick, NJ 08723
Phone (732) 262-1600

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23034/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1609274810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 ROUTE 70 EAST SUITE 1B",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087234022",
            "telephone_number": "732-262-1600",
            "fax_number": "732-262-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 ROUTE 70 EAST SUITE 1B",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087234022",
            "telephone_number": "732-262-1600",
            "fax_number": "732-262-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SURGICAL & PREMIER VEIN CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-22",
        "last_updated": "2022-07-21",
        "certification_date": "2021-03-12",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "JARROD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-262-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA07404200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.