Organization Active NPI

Comprehensive Vascular Center, LLC

  • Vascular Surgery Physician
  • Old Bridge, NJ
National Provider Identifier
1962704791
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
COMPREHENSIVE VASCULAR CENTER, LLC
Practice address
499 Marlboro Rd
Suite 1
Old Bridge, NJ 08857-3746
Phone
(732) 307-2300
Fax
(732) 307-2303
NPI assigned
Nov 30, 2010
Last updated
May 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2013

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

Authorized official

Name
Dr. Jennifer Rose Syrek, MDNPI 1225097066
Title
Owner
Phone
(732) 307-2300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

499 Marlboro Rd
Suite 1
Old Bridge, NJ 08857-3746

Mailing address

499 Marlboro Rd
Suite 1
Old Bridge, NJ 08857-3746
Phone (732) 307-2300

National Provider Directory

National Provider Directory

Locations

499 Marlboro Rd
Ste 1
Old Bridge, NJ 08857
Phone (732) 307-2300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369094400000",
    "number": "1962704791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 MARLBORO RD",
            "address_2": "SUITE 1",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573746",
            "telephone_number": "732-307-2300",
            "fax_number": "732-307-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 MARLBORO RD",
            "address_2": "SUITE 1",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573746",
            "telephone_number": "732-307-2300",
            "fax_number": "732-307-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE VASCULAR CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-30",
        "last_updated": "2013-05-21",
        "status": "A",
        "authorized_official_last_name": "SYREK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-307-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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.