Individual provider Active NPI

Vyacheslav Gendel, M.D.

  • Vascular & Interventional Radiology Physician
  • East Brunswick, NJ
National Provider Identifier
1992954283
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
25MA09043600 Issued in NJ
Practice address
483 Cranbury Rd
East Brunswick, NJ 08816-3610
Phone
(732) 390-0030
Fax
(732) 390-1856
NPI assigned
Sep 11, 2008
Last updated
Jan 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MA09043600 NJ
Vascular & Interventional Radiology Physician 2085R0204X 25MA09043600 NJ Primary

Addresses

Primary practice location

483 Cranbury Rd
East Brunswick, NJ 08816-3610

Mailing address

579A Cranbury Rd
East Brunswick, NJ 08816-5426
Phone (732) 390-0040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130524000044 NJ Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 2163660564 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Georgetown University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ancillary Services of Practice Associates PAGroup PAC ID 4981026192, 99 clinicians

Practice addresses (Care Compare)

99 Beauvoir Ave
Summit, NJ 07901-3533
Phone (908) 522-2065

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA09043600NJMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ancillary Services of Practice Associates PA Diagnostic Radiology CurrentSince May 2, 2022 Accepting new patients
Hunterdon Ambulatory Services LLC CurrentSince May 2, 2022 Accepting new patients
Montclair Radiological Assoc ,PA Diagnostic Radiology CurrentSince Jan 23, 2023 Accepting new patients
Women's Healthcare Imaging, Corp. CurrentSince Jan 9, 2025 Accepting new patients
Atlantic Imaging Services LLC Diagnostic Radiology CurrentSince May 2, 2022 Accepting new patients
Practice Associates Medical Group Past Accepting new patients

Locations

471 Broadway
Ste 400
Bayonne, NJ 07002
Phone (973) 436-0511

1121 Route 22
Ste 103
Bridgewater, NJ 08807
Phone (908) 237-4001

100 Commerce Pl
Clark, NJ 07066
Phone (732) 388-2620

140 Central Ave
Ste 600
Clark, NJ 07066
Phone (732) 943-5030

777 Passaic Ave
Ste 360
Clifton, NJ 07012

116 Park St
Montclair, NJ 07042
Phone (973) 661-4674

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

20 High St
Nutley, NJ 07110
Phone (973) 281-1881

3025 Paramus Park Mall
Ste 300
Paramus, NJ 07652
Phone (201) 267-6889

10 Lanidex Plz W
Ste 125
Parsippany, NJ 07054
Phone (973) 267-1274

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

1000 Galloping Hill Rd
Union, NJ 07083
Phone (908) 522-6280

Interoperability endpoints

  • Direct secure messaging: vgendel444826@direct.ahsys.org
  • Direct secure messaging: vyacheslavgendel@nslijmedgr.allscriptsdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1992954283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579A CRANBURY RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165426",
            "telephone_number": "732-390-0040",
            "fax_number": "732-390-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 CRANBURY RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163610",
            "telephone_number": "732-390-0030",
            "fax_number": "732-390-1856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENDEL",
        "first_name": "VYACHESLAV",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-11",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA09043600",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NJ",
            "license": "25MA09043600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.