Individual provider Active NPI

Gary A. Drascher, M.D.

  • Vascular Surgery Physician
  • Somerville, NJ
National Provider Identifier
1871536474
Registry record updated Mar 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MA49378 Issued in NJ
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

Updated by the provider on Mar 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0734403MedicaidNJ

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

LicenseStateTypeSpecialty
MA49378NJMDVascular 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.

Verify at the official NPI Registry.