Avicenna Medical Arts, PLLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

25MA08792700 Issued in NJ

Legal business name

AVICENNA MEDICAL ARTS, PLLC

Practice address

660 Tennent Rd
Suite 104
Manalapan, NJ 07726-3163

Phone

(646) 522-3664

Fax

(732) 831-6171

NPI assigned

Dec 7, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Alexander Veder, M.D

Title

Owner

Phone

(646) 522-3664

Specialties & licenses 3

Addresses

Locations

Practitioners 2

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

• Liana Veder, MD

  • Family Medicine Physician
  • Brick, NJ
  • NPI 1447265244
  NPD (past)
• Dindo Kristoffer Zayas, PT

  • Physical Therapist
  • Bronx, NY
  • NPI 1033431325
  NPD (past)

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393804800000",
    "number": "1639408461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 302",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077260302",
            "telephone_number": "646-522-3664",
            "fax_number": "646-522-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 TENNENT RD",
            "address_2": "SUITE 104",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263163",
            "telephone_number": "646-522-3664",
            "fax_number": "732-831-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVICENNA MEDICAL ARTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-07",
        "last_updated": "2014-03-03",
        "status": "A",
        "authorized_official_last_name": "VEDER",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-522-3664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "202C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Independent Medical Examiner",
            "state": "NJ",
            "license": "25MA08792700",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA08792700",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "25MA08792700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atrium Diagnostic Imaging LLC
• Atrium Diagnostic Imaging LLC
• Deborah Ellen Atzbi, LCSW
• Aura Anesthesiology of NJ PC
• Natalya O Avanesova, M.D.
• Gary N Axelrad, MD
• David Hani Ayad, D.O.
• Christina Ayoub, BCBA
• Amy Azer
• B&S Physical Therapy

• Interventional Pain Medicine Physician in Manalapan, NJ
• Providers in Manalapan, 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 3, 2014; 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.