Center for Advanced Vein Treatment, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CENTER FOR ADVANCED VEIN TREATMENT, LLC

Doing business as

Center for Advanced Vein Treatment, LLC

Practice address

2600 Philmont Ave Ste 205
Huntingdon Valley, PA 19006-5308

Phone

(609) 638-4702

NPI assigned

Mar 11, 2021

Last updated

Sep 27, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ziad Hadayaa, MD

Title

Ceo

Phone

(609) 638-4702

Specialties & licenses 1

Addresses

Other names 1

• Center for Advanced Vein Treatment, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

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.

• Ziad Hadaya, MD

  • Internal Medicine Physician
  • Hamilton, NJ
  • NPI 1841312055

  PA

  Medicare reassignment NPD

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632700800000",
    "number": "1760067789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 PHILMONT AVE STE 205",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190065308",
            "telephone_number": "215-947-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 PHILMONT AVE STE 205",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190065308",
            "telephone_number": "609-638-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ADVANCED VEIN TREATMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "HADAYAA",
        "authorized_official_first_name": "ZIAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "609-638-4702",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Advanced Vein Treatment, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark Carlson
• Carvell Health Services Inc
• Carvell Homecare Inc
• Crystina Kaylin Cave, PA-C
• Center for Advanced Vein Therapy, P.C
• Fallon Cesarini, PT, DPT
• Samuel Chachkin, MD
• George Yusef Chalhoub, MD
• Ani Nicole Chamesian, CF-SLP
• Linda Chandy, AGNP

• Internal Medicine Physician in Huntingdon Valley, PA
• Providers in Huntingdon Valley, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.