Organization Active NPI

Vaze Inc., PC

  • Gastroenterology Physician
  • Huntingdon Valley, PA
National Provider Identifier
1861692113
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD051961L Issued in PA
Legal business name
VAZE INC., PC
Practice address
727 Welsh Rd
Ste 101
Huntingdon Valley, PA 19006-6357
Phone
(215) 914-0600
Fax
(215) 914-0115
NPI assigned
Jul 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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

Authorized official

Name
Milind M Vaze, M.D.NPI 1548256738
Title
Physician
Phone
(215) 914-0600

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
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X MD051961L PA Primary

Addresses

Primary practice location

727 Welsh Rd
Ste 101
Huntingdon Valley, PA 19006-6357

Mailing address

727 Welsh Rd
Ste 101
Huntingdon Valley, PA 19006-6357
Phone (215) 914-0600

Other identifiers 4

IdentifierTypeStateIssuer
3764401000OtherPAIBC
P00788125OtherPAMEDICARE RAILROAD
1024131740001MedicaidPA
766011OtherPAHIGHMARK BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100112000156 PA Part B Supplier - Clinic/Group Practice 5193866267 Receives reassigned benefits from 2 practitioners
Practice locations: Huntingdon Valley, PA; Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

4850 Frankford Ave
Ste 2
Philadelphia, PA 19124
Phone (215) 831-2147

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268006400000",
    "number": "1861692113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 WELSH RD",
            "address_2": "STE 101",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190066357",
            "telephone_number": "215-914-0600",
            "fax_number": "215-914-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 WELSH RD",
            "address_2": "STE 101",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190066357",
            "telephone_number": "215-914-0600",
            "fax_number": "215-914-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAZE INC., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2010-03-08",
        "status": "A",
        "authorized_official_last_name": "VAZE",
        "authorized_official_first_name": "MILIND",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "215-914-0600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD051961L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "3764401000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00788125",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024131740001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "766011",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; 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.