Complete Vein & Vascular LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

COMPLETE VEIN & VASCULAR LLC

Practice address

1144 E Ridgewood Ave FL 2
Ridgewood, NJ 07450-3941

Phone

(201) 336-0188

NPI assigned

Mar 20, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Rehan Ali, MDNPI 1144527011

Title

Director

Phone

(201) 912-9233

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rehan Ali, M.D.

  • Interventional Pain Medicine Physician
  • Ridgewood, NJ
  • NPI 1144527011
  NPD Authorized official
• Samantha Sabban, DO

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Ridgewood, NJ
  • NPI 1346700762
  NPD

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1629838263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 E RIDGEWOOD AVE FL 2",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503941",
            "telephone_number": "201-336-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 E RIDGEWOOD AVE FL 2",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503941",
            "telephone_number": "201-336-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE VEIN & VASCULAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "REHAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "201-912-9233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Interventional Pain Medicine Physician in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Interventional Pain Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.