Comprehensive Vascular Center, LLC

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

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Rose Syrek, MD

Title

Owner

Phone

(732) 307-2300

Specialties & licenses 1

Addresses

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": []
}

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• 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.