Rowansom Vascular Lab

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

ROWANSOM VASCULAR LAB

Practice address

42 E Laurel Rd
Udp, Suite 2500
Stratford, NJ 08084-1354

Phone

(856) 566-2700

Fax

(856) 566-6873

NPI assigned

Jan 27, 2006

Organization subpart

No

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

Authorized official

Name

Michael Rieker

Title

Interim Chief Financial Officier

Phone

(856) 770-5729

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• UMDNJ-SOM Vascular Lab Former legal business name

Locations

Practitioners 1

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

• Marc Eliott Rosen, D.O.

  • Surgery Physician
  • Nashville, TN
  • NPI 1174593271
  NPD (past)

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368576000000",
    "number": "1831160985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635",
            "city": "BELLMAWR",
            "state": "NJ",
            "postal_code": "080990635",
            "telephone_number": "856-566-6706",
            "fax_number": "856-566-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 E LAUREL RD",
            "address_2": "UDP, SUITE 2500",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841354",
            "telephone_number": "856-566-2700",
            "fax_number": "856-566-6873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROWANSOM VASCULAR LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-27",
        "last_updated": "2013-05-15",
        "status": "A",
        "authorized_official_last_name": "RIEKER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "INTERIM CHIEF FINANCIAL OFFICIER",
        "authorized_official_telephone_number": "856-770-5729"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6502903",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CK5078",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UMDNJ-SOM Vascular Lab",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Rowansom Nmi Osteopathic Manipulative Medicine
• Rowansom Nmi Physical Therapy
• Rowansom Nmi Rehabilitation Medicine
• Rowansom Nutritional Therapy
• Rowansom Reproductive Medicine
• Lea Rowson, DO
• Shuvo Roy
• Kristine Pearl Rubi, MD
• David Rubin
• Melissa K Runyon, PH.D.

• Vascular Surgery Physician in Stratford, NJ
• Providers in Stratford, NJ by specialty
• Vascular Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; 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.