Active NPI
General Vascular Surgical Specialists LLC
- Surgery Physician
- Woodbury, NJ
National Provider Identifier
1669893889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- GENERAL VASCULAR SURGICAL SPECIALISTS LLC
- Practice address
- 17 W Red Bank Ave
Suite 203
Woodbury, NJ 08096-1630 - Phone
- (856) 848-8242
- Fax
- (856) 384-6015
- NPI assigned
- Dec 16, 2013
- Last updated
- Dec 16, 2013
- Organization subpart
- Yes
- Parent organization
- INSPIRA HEALTH NETWORK MEDICAL GROUP
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Timothy S Pilla, M.D.
- Title
- President
- Phone
- (856) 848-8242
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | NU | Primary | |
| Vascular Surgery Physician | 2086S0129X | NU |
Addresses
Primary practice location
17 W Red Bank Ave
Suite 203
Woodbury, NJ 08096-1630
Mailing address
17 W Red Bank Ave
Suite 203
Woodbury, NJ 08096-1630
Phone (856) 848-8242
National Provider Directory
National Provider Directory- Part of
- Inspira Health Net Med GRP
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Vascular Surgery Physician
- Woodbury, NJ
- NPI 1023019312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1387152000000",
"number": "1669893889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 W RED BANK AVE",
"address_2": "SUITE 203",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "080961630",
"telephone_number": "856-848-8242",
"fax_number": "856-384-6015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 W RED BANK AVE",
"address_2": "SUITE 203",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "080961630",
"telephone_number": "856-848-8242",
"fax_number": "856-384-6015"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENERAL VASCULAR SURGICAL SPECIALISTS LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "INSPIRA HEALTH NETWORK MEDICAL GROUP",
"enumeration_date": "2013-12-16",
"last_updated": "2013-12-16",
"status": "A",
"authorized_official_last_name": "PILLA",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "856-848-8242",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodbury, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.