Organization Active NPI

The Endovascular Institute of NJ LLC

  • Specialist
  • East Brunswick, NJ
National Provider Identifier
1750443248
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA04238300 Issued in NJ
Legal business name
THE ENDOVASCULAR INSTITUTE OF NJ LLC
Practice address
465 Cranbury Rd
Suite 204
East Brunswick, NJ 08816-7600
Phone
(732) 698-0606
Fax
(732) 698-0006
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Larry Earl Shindelman, M.D.
Title
President
Phone
(732) 698-0606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 25MA04238300 NJ Primary

Addresses

Primary practice location

465 Cranbury Rd
Suite 204
East Brunswick, NJ 08816-7600

Mailing address

465 Cranbury Road
Suite 204
East Brunswick, NJ 08816-7600
Phone (732) 698-0606

National Provider Directory

National Provider Directory

Locations

465 Cranbury Rd
Ste 204
East Brunswick, NJ 08816
Phone (732) 698-0606

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750443248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 CRANBURY ROAD",
            "address_2": "SUITE 204",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088167600",
            "telephone_number": "732-698-0606",
            "fax_number": "732-698-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 CRANBURY RD",
            "address_2": "SUITE 204",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088167600",
            "telephone_number": "732-698-0606",
            "fax_number": "732-698-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ENDOVASCULAR INSTITUTE OF NJ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHINDELMAN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-698-0606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA04238300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.