Active NPI
New Jersey Vascular LLC
- Vascular Surgery Physician
- Fairfield, NJ
National Provider Identifier
1841807161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- Legal business name
- NEW JERSEY VASCULAR LLC
- Practice address
- 410 US Highway 46
Fairfield, NJ 07004-1972 - Phone
- (862) 210-8189
- NPI assigned
- Sep 30, 2020
- Last updated
- Sep 30, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Deborah Hilderley
- Title
- Billing Agent
- Phone
- (352) 683-3855
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | Primary |
Addresses
Primary practice location
410 US Highway 46
Fairfield, NJ 07004-1972
Mailing address
PO Box 104
East Hanover, NJ 07936-0104
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Chiropractor
- Belleville, NJ
- NPI 1912229907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1601424000000",
"number": "1841807161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 104",
"city": "EAST HANOVER",
"state": "NJ",
"postal_code": "079360104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 US HIGHWAY 46",
"city": "FAIRFIELD",
"state": "NJ",
"postal_code": "070041972",
"telephone_number": "862-210-8189"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW JERSEY VASCULAR LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-30",
"last_updated": "2020-09-30",
"certification_date": "2020-09-30",
"status": "A",
"authorized_official_last_name": "HILDERLEY",
"authorized_official_first_name": "DEBORAH",
"authorized_official_title_or_position": "BILLING AGENT",
"authorized_official_telephone_number": "352-683-3855",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, NJ
- New Beginnings for Tomorrow
- New Beginnings for Tomorrow
- New Jersey CVS Pharmacy LLC (CVS Pharmacy #16533)
- New Jersey Home Care LLC (Compassionate Helpers)
- New Jersey Podiatric Physicians and Surgeons Group,LLC
- Hao Nguyen
- Nghia Trung Nguyen
- Felix F Nicolas, M.D.
- Janna Noh, R.PH
- Northeast Oral and Maxillofacial Surgery
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.