Organization Active NPI

NJ Vein Medical LLC

  • Specialist
  • Morristown, NJ
National Provider Identifier
1851169841
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NJ VEIN MEDICAL LLC
Practice address
310 Madison Ave FL 3
Morristown, NJ 07960-6967
Phone
(973) 500-6768
Fax
(201) 377-2126
NPI assigned
Dec 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Authorized official

Name
Dr. Michael Nguyen, MDNPI 1730380478
Title
Ceo
Phone
(305) 962-5239

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

310 Madison Ave FL 3
Morristown, NJ 07960-6967

Mailing address

576 Valley Rd Ste 254
Wayne, NJ 07470-3526
Phone (973) 500-6768

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240913002254 NJ Part B Supplier - Clinic/Group Practice 5799225926 Receives reassigned benefits from 7 practitioners
Practice locations: Morristown, NJ; Woodland Park, NJ; Princeton, NJ; Paramus, NJ; Hoboken, NJ; Edgewater, NJ; Clifton, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776038400000",
    "number": "1851169841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 VALLEY RD STE 254",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703526",
            "telephone_number": "973-500-6768",
            "fax_number": "201-377-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 MADISON AVE FL 3",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606967",
            "telephone_number": "973-500-6768",
            "fax_number": "201-377-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ VEIN MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-19",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-962-5239",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.