NJ Endovascular & Amputation Prevention LLC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

NJ ENDOVASCULAR & AMPUTATION PREVENTION LLC

Practice address

347 Mount Pleasant Ave Ste 100
West Orange, NJ 07052-2745

Phone

(973) 419-6315

Fax

(973) 233-5642

NPI assigned

Dec 6, 2017

Organization subpart

No

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

Authorized official

Name

David Delvecchio

Title

Ceo

Phone

(973) 508-8319

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 5

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

• Danielle Healy, APRN, NP-C

  • Gerontology Nurse Practitioner
  • Ledgewood, NJ
  • NPI 1003260068
  Medicare reassignment Care Compare group NPD
• Kevin Herman, M.D.

  • Vascular & Interventional Radiology Physician
  • Teaneck, NJ
  • NPI 1619107703
  Medicare reassignment Care Compare group NPD
• John Rundback, M.D.

  • Vascular & Interventional Radiology Physician
  • Teaneck, NJ
  • NPI 1255367280
  Medicare reassignment Care Compare group NPD
• Edel Mendoza, M.D.

  • Vascular & Interventional Radiology Physician
  • Wilmington, DE
  • NPI 1740677053

  NJ

  Medicare reassignment Care Compare group NPD
• Nhung Nguyen

  • Physician Assistant
  • Jersey City, NJ
  • NPI 1851911499
  NPD (past)

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

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783382400000",
    "number": "1912412446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 MOUNT PLEASANT AVE STE 100",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522745",
            "telephone_number": "973-947-6586",
            "fax_number": "973-947-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 MOUNT PLEASANT AVE STE 100",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522745",
            "telephone_number": "973-419-6315",
            "fax_number": "973-233-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ ENDOVASCULAR & AMPUTATION PREVENTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-06",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A",
        "authorized_official_last_name": "DELVECCHIO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-508-8319"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Nicotera, J.D., DSW, LCSW
• Theodore A Niebloom, DMD
• Jeremiah David Nieves, M.D.
• Shaine Easo Ninan, PHARM D, RPH
• NJ Allergy MD, LLC
• NJ Multi-Disciplinary Medical Associates LLC
• NJ Spine and Brain Surgery
• NJ Spine&Pain Institute
• NJ Vein & Cosmetic Surgery Center, PA
• Njmedix Ambulatory Transportation Corporation

• Vascular & Interventional Radiology Physician in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Vascular & Interventional Radiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.