Vyacheslav Gendel, M.D.
Individual provider Active NPI Vascular & Interventional Radiology Physician · East Brunswick, NJ
NPI 1992954283 · NPPES record last updated Jan 31, 2023
Key facts
- NPI
- 1992954283
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Vascular & Interventional Radiology Physician 2085R0204X
- License
- 25MA09043600 (NJ)
- Practice address
- 483 Cranbury Rd
East Brunswick, NJ 08816-3610 - Phone
- (732) 390-0030
- Fax
- (732) 390-1856
- NPI assigned
- Sep 11, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Interventional 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 PA
Practice addresses (Care Compare)
99 Beauvoir Ave
Summit, NJ 07901-3533
Phone (908) 522-2065
Hospital & facility affiliations
- Overlook Medical Center
- Morristown Medical Center
- Newton Medical Center
- Chilton Medical Center
- Ahs Hospital Corp
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130524000044 | NJ | Practitioner - Interventional Radiology |
2163660564 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA09043600 | NJ | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hunterdon Ambulatory Services LLC | Current |
Accepting new patients | |
| Women'S Healthcare Imaging, Corp. | Current |
Accepting new patients | |
| Ancillary Services of Practice Associates PA | Diagnostic Radiology | Current |
Accepting new patients |
| Atlantic Imaging Services LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Montclair Radiological Assoc ,PA | Diagnostic Radiology | Current |
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
- vgendel444826@direct.ahsys.org
- vyacheslavgendel@nslijmedgr.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 25MA09043600 | NJ | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 25MA09043600 | NJ | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03561539 | Medicaid | NY | |
| 0348813 | Medicaid | NJ |
Other providers in East Brunswick, NJ
- Laxmipathi Garipalli
- Moneka I Gawargi
- Kevin Gazzale
- Leonid Gefon
- Toby Alan Geller
- Nivan Phillips Gendy
- George S. Azer MD Inc
- Valentina George
- Dawn Ann Gerdes
- Alison Winter Germadnig
All providers in East Brunswick, NJ · Vascular & Interventional Radiology Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.