Organization Active NPI

Aesthetic Vascular Association LLC

  • Vascular Surgery Physician
  • Shrewsbury, NJ
National Provider Identifier
1972737864
Registry record updated May 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
AESTHETIC VASCULAR ASSOCIATION LLC
Practice address
535 Sycamore Ave
Shrewsbury, NJ 07702-4224
Phone
(732) 741-0970
Fax
(732) 747-2606
NPI assigned
May 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2009

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

Authorized official

Name
Dr. Andrew Ira Elkwood, M.D.
Title
Owner
Phone
(732) 741-0970

Specialties & licenses 1

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

Addresses

Primary practice location

535 Sycamore Ave
Shrewsbury, NJ 07702-4224

Mailing address

535 Sycamore Ave
Shrewsbury, NJ 07702-4224
Phone (732) 741-0970

National Provider Directory

National Provider Directory

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": "1241654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241654400000",
    "number": "1972737864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 SYCAMORE AVE",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024224",
            "telephone_number": "732-741-0970",
            "fax_number": "732-747-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 SYCAMORE AVE",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024224",
            "telephone_number": "732-741-0970",
            "fax_number": "732-747-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC VASCULAR ASSOCIATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-07",
        "last_updated": "2009-05-07",
        "status": "A",
        "authorized_official_last_name": "ELKWOOD",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "IRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-741-0970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "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 Shrewsbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; 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.