Active NPI
Gary A. Drascher, M.D.
- Vascular Surgery Physician
- Somerville, NJ
National Provider Identifier
1871536474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- MA49378
- Practice address
- 30 Rehill Ave
Suite 3300
Somerville, NJ 08876-2500 - Phone
- (908) 927-8994
- Fax
- (908) 927-8995
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | MA49378 | NJ | Primary |
Addresses
Primary practice location
30 Rehill Ave
Suite 3300
Somerville, NJ 08876-2500
Mailing address
30 Rehill Ave
Suite 3300
Somerville, NJ 08876-2500
Phone (908) 927-8994
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0734403 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA49378 | NJ | MD | Vascular Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300233600000",
"number": "1871536474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 REHILL AVE",
"address_2": "SUITE 3300",
"city": "SOMERVILLE",
"state": "NJ",
"postal_code": "088762500",
"telephone_number": "908-927-8994",
"fax_number": "908-927-8995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 REHILL AVE",
"address_2": "SUITE 3300",
"city": "SOMERVILLE",
"state": "NJ",
"postal_code": "088762500",
"telephone_number": "908-927-8994",
"fax_number": "908-927-8995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRASCHER",
"first_name": "GARY",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2011-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NJ",
"license": "MA49378",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0734403",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Somerville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.