Active NPI
Vanguard Medical Group, PA
- Family Medicine Physician
- Verona, NJ
National Provider Identifier
1740649268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- VANGUARD MEDICAL GROUP, PA
- Practice address
- 271 Grove Ave Ste E
Verona, NJ 07044-1730 - Phone
- (973) 559-3700
- Fax
- (833) 484-1686
- NPI assigned
- Feb 11, 2016
- Last updated
- Feb 26, 2024
- Organization subpart
- Yes
- Parent organization
- VANGUARD MEDICAL GROUP, PA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ronisha Katrina Scales
- Title
- Credentialing
- Phone
- (973) 559-3700
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary | |
| Internal Medicine Physician | 207R00000X | NU |
Addresses
Primary practice location
271 Grove Ave Ste E
Verona, NJ 07044-1730
Mailing address
271 Grove Ave Ste E
Verona, NJ 07044-1730
Phone (973) 559-3700
Other names 1
- Vanguard Medical Group, PA
National Provider Directory
National Provider Directory- Part of
- Verona Cedar Grove Medi
Locations
271 Grove Ave
Ste E
Verona, NJ 07044
Phone (973) 559-3700
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
dba Town Medical Associates, P.A.
- Family Medicine Physician
- Verona, NJ
- NPI 1073674412
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.
-
- Family Medicine Physician
- Verona, NJ
- NPI 1457411092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455148800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708905600000",
"number": "1740649268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "271 GROVE AVE STE E",
"city": "VERONA",
"state": "NJ",
"postal_code": "070441730",
"telephone_number": "973-559-3700",
"fax_number": "833-484-1686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "271 GROVE AVE STE E",
"city": "VERONA",
"state": "NJ",
"postal_code": "070441730",
"telephone_number": "973-559-3700",
"fax_number": "833-484-1686"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VANGUARD MEDICAL GROUP, PA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "VANGUARD MEDICAL GROUP, PA",
"enumeration_date": "2016-02-11",
"last_updated": "2024-02-26",
"certification_date": "2024-02-26",
"status": "A",
"authorized_official_last_name": "SCALES",
"authorized_official_first_name": "RONISHA",
"authorized_official_middle_name": "KATRINA",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "973-559-3700"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Vanguard Medical Group, PA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Verona, NJ
- Catherine A Toufiles, PSYD
- Tristate Medical and Wellness, LLC
- Turning Point, Inc.
- Turning Point, Inc.
- Vanguard Medical Group, PA (Town Medical Associates, P.A.)
- Vanguard Partner Network LLC (New Jersey Partner Network)
- Elaine Vellas, M.D.
- Valery Vera-Connolly, M.D.
- Verona Dental Arts
- Verona Drug Store Inc (Center Drugs)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.