Active NPI
Vascular and Endovascular Associates of NJ LLC
- Vascular Surgery Physician
- Ridgewood, NJ
National Provider Identifier
1689808974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 25MA06880800
- Legal business name
- VASCULAR AND ENDOVASCULAR ASSOCIATES OF NJ LLC
- Practice address
- 89 N Maple Ave
Ridgewood, NJ 07450-3235 - Phone
- (201) 389-3700
- Fax
- (201) 670-6725
- NPI assigned
- May 14, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tarek A Alshafie, MD
- Title
- General Surgeon/Vascular Surgeon
- Phone
- (201) 389-3700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 25MA06880800 | NJ | Primary |
Addresses
Primary practice location
89 N Maple Ave
Ridgewood, NJ 07450-3235
Mailing address
89 N Maple Ave
Ridgewood, NJ 07450-3235
Phone (201) 389-3700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1 W Ridgewood Ave
Ste 106
Paramus, NJ 07652
Phone (201) 389-3700
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Paramus, NJ
- NPI 1336182641
-
- Vascular Surgery Physician
- Paramus, NJ
- NPI 1023308772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242259200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1360800000000",
"number": "1689808974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 N MAPLE AVE",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074503235",
"telephone_number": "201-389-3700",
"fax_number": "201-670-6725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "89 N MAPLE AVE",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074503235",
"telephone_number": "201-389-3700",
"fax_number": "201-670-6725"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VASCULAR AND ENDOVASCULAR ASSOCIATES OF NJ LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-14",
"last_updated": "2013-02-14",
"status": "A",
"authorized_official_last_name": "ALSHAFIE",
"authorized_official_first_name": "TAREK",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "GENERAL SURGEON/VASCULAR SURGEON",
"authorized_official_telephone_number": "201-389-3700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": "NJ",
"license": "25MA06880800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.