NPIMap

Organization Active NPI

Vein Care Associates of NJ Inc.

  • Specialist
  • Lyndhurst, NJ
National Provider Identifier
1881181733
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA07870200 Issued in NJ
Legal business name
VEIN CARE ASSOCIATES OF NJ INC.
Practice address
576 Valley Brook Ave.
Suite 2
Lyndhurst, NJ 07071
Phone
(201) 791-7771
Fax
(201) 791-7337
NPI assigned
Apr 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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

Authorized official

Name
Grigory Shtender, MDNPI 1952316614
Title
President
Phone
(201) 791-7771

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 25MA07870200 NJ Primary

Addresses

Primary practice location

576 Valley Brook Ave.
Suite 2
Lyndhurst, NJ 07071

Mailing address

31-00 Broadway Suite 1
Suite 1
Fair Lawn, NJ 07410
Phone (201) 791-7771

National Provider Directory

National Provider Directory

Locations

31-00 Broadway
Ste 1
Fair Lawn, NJ 07410

Practitioners & affiliated clinicians

Practitioners 1

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": "1523923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523923200000",
    "number": "1881181733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31-00 BROADWAY SUITE 1",
            "address_2": "SUITE 1",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "07410",
            "telephone_number": "201-791-7771",
            "fax_number": "201-791-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 VALLEY BROOK AVE.",
            "address_2": "SUITE 2",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "07071",
            "telephone_number": "201-791-7771",
            "fax_number": "201-791-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEIN CARE ASSOCIATES OF NJ INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-04-17",
        "status": "A",
        "authorized_official_last_name": "SHTENDER",
        "authorized_official_first_name": "GRIGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-791-7771",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA07870200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.