Individual provider Active NPI

Vanjelo P Abellar, RPT

  • Specialist
  • Carteret, NJ
National Provider Identifier
1962595629
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
40QA01194700 Issued in NJ
Practice address
1175 Roosevelt Ave.
Carteret, NJ 07008
Phone
(732) 541-2233
Fax
(732) 541-2234
NPI assigned
Oct 2, 2006
Last updated
Feb 13, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 40QA01194700 NJ Primary

Addresses

Primary practice location

1175 Roosevelt Ave.
Carteret, NJ 07008

Mailing address

34 E Colfax Ave.
Roselle Park, NJ 07204
Phone (732) 541-2233

Other identifiers 2

IdentifierTypeStateIssuer
P00358197OtherNJRAILROAD MEDICARE
550849160OtherNJTAX ID

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

State licenses

LicenseStateTypeSpecialty
40QA01194700NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Carteret Comprehensive Medical Care, P.C. Specialist Past Accepting new patients
Carteret Comprehensive Medical Care,PC Specialist PastSince Sep 24, 2004 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202860800000",
    "number": "1962595629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 E COLFAX AVE.",
            "city": "ROSELLE PARK",
            "state": "NJ",
            "postal_code": "07204",
            "telephone_number": "732-541-2233",
            "fax_number": "732-541-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 ROOSEVELT AVE.",
            "city": "CARTERET",
            "state": "NJ",
            "postal_code": "07008",
            "telephone_number": "732-541-2233",
            "fax_number": "732-541-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABELLAR",
        "first_name": "VANJELO",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "40QA01194700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD  MEDICARE",
            "identifier": "P00358197",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "550849160",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carteret, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; 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.