Organization Active NPI

Vein Laser Center, LLC

  • Specialist
  • Jersey City, NJ
National Provider Identifier
1982862488
Registry record updated Jan 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA03767500 Issued in NJ
Legal business name
VEIN LASER CENTER, LLC
Practice address
550 Summit Ave Ste 203
Jersey City, NJ 07306-2700
Phone
(201) 659-0536
NPI assigned
May 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2013

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

Authorized official

Name
Dr. Salah Taha, MD
Title
President
Phone
(201) 659-0536

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 25MA03767500 NJ Primary

Addresses

Primary practice location

550 Summit Ave Ste 203
Jersey City, NJ 07306-2700

Mailing address

550 Summit Ave Ste 203
Jersey City, NJ 07306-2700
Phone (201) 659-0536

National Provider Directory

National Provider Directory

Locations

550 Summit Ave
Ste 203
Jersey City, NJ 07306
Phone (201) 659-0536

NPI Registry JSON

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357171200000",
    "number": "1982862488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 SUMMIT AVE STE 203",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062700",
            "telephone_number": "201-659-0536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 SUMMIT AVE STE 203",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062700",
            "telephone_number": "201-659-0536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEIN LASER CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2013-01-03",
        "status": "A",
        "authorized_official_last_name": "TAHA",
        "authorized_official_first_name": "SALAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-659-0536",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA03767500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.