NPIMap

Organization Active NPI

Center for Vein Restoration NJ LLC

  • Vascular Surgery Physician
  • Hackensack, NJ
National Provider Identifier
1710312699
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
CENTER FOR VEIN RESTORATION NJ LLC
Practice address
211 Essex St Ste 403
Hackensack, NJ 07601-3247
Phone
(855) 830-8346
Fax
(270) 473-4321
NPI assigned
Sep 10, 2013
Last updated
Apr 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Authorized official

Name
Sanjiv Lakhanpal, MDNPI 1124074083
Title
President
Phone
(855) 830-8346

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Vascular Surgery Physician 2086S0129X NU Primary

Addresses

Primary practice location

211 Essex St Ste 403
Hackensack, NJ 07601-3247

Mailing address

7474 Greenway Center Drive
Suite 1000
Greenbelt, MD 20770
Phone (240) 965-3271

Other practice location 1

2333 Morris Ave Ste D210
Union, NJ 07083-5718
Phone (855) 830-8346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20141009000164 NJ Part B Supplier - Clinic/Group Practice 0042430332 Receives reassigned benefits from 24 practitioners
Practice locations: Woodland Park, NJ; Union, NJ; Skillman, NJ; Paramus, NJ; Northfield, NJ; North Bergen, NJ; Morristown, NJ; Kearny, NJ…
O20190517000167 NJ DME Supplier - Physician - Vascular Surgery 0042430332 Practice locations: Union, NJ

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

211 Essex St
Ste 403
Hackensack, NJ 07601
Phone (201) 646-0044

456 Chestnut St
Unit 301
Lakewood, NJ 08701

8901 Kennedy Blvd
Ste 3E
North Bergen, NJ 07047
Phone (855) 653-8346

1015 New Rd
Ste D
Northfield, NJ 08225

205 Robin Rd
Ste 333
Paramus, NJ 07652
Phone (201) 261-1772

46 Vreeland Dr
Ste 1
Skillman, NJ 08558

2333 Morris Ave
Ste D210
Union, NJ 07083
Phone (908) 258-0220

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1710312699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7474 GREENWAY CENTER DRIVE",
            "address_2": "SUITE 1000",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "20770",
            "telephone_number": "240-965-3271",
            "fax_number": "240-473-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 ESSEX ST STE 403",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076013247",
            "telephone_number": "855-830-8346",
            "fax_number": "270-473-4321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2333 Morris Ave Ste D210",
            "address_purpose": "LOCATION",
            "city": "Union",
            "state": "NJ",
            "postal_code": "070835718",
            "country_code": "US",
            "telephone_number": "855-830-8346",
            "fax_number": "240-473-4321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTER FOR VEIN RESTORATION NJ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "LAKHANPAL",
        "authorized_official_first_name": "SANJIV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "855-830-8346",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.

Verify at the official NPI Registry.