Vein Centre Fernando Segovia, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

25MA05963600 Issued in NJ

Legal business name

VEIN CENTRE FERNANDO SEGOVIA, MD

Practice address

38 Meadowlands Pkwy
Suite 1
Secaucus, NJ 07094-2925

Phone

(201) 941-8100

Fax

(201) 941-1235

NPI assigned

May 19, 2015

Last updated

May 19, 2015By 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

Mrs. Carol Lynn Lopresti

Title

Billing Manager

Phone

(201) 941-8100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431993600000",
    "number": "1851770291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 MEADOWLANDS PKWY",
            "address_2": "SUITE 1",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070942925",
            "telephone_number": "201-941-8100",
            "fax_number": "201-941-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 MEADOWLANDS PKWY",
            "address_2": "SUITE 1",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070942925",
            "telephone_number": "201-941-8100",
            "fax_number": "201-941-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEIN CENTRE FERNANDO SEGOVIA, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-19",
        "last_updated": "2015-05-19",
        "status": "A",
        "authorized_official_last_name": "LOPRESTI",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "201-941-8100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA05963600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; 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.