SHREWSBURY VASCULAR AND GENERAL SURGERY ASSOCIATES LLC - NPI NUMBER 1154485332

Summary

Provider Name: SHREWSBURY VASCULAR AND GENERAL SURGERY ASSOCIATES LLC

NPI Number: 1154485332

Clasification: Surgery (208600000X)

Address:
655 SHREWSBURY AVE
SUITE 210
SHREWSBURY, NJ
ZIP 07702

Phone Number: (732) 747-4744



Detailed Information

SHREWSBURY VASCULAR AND GENERAL SURGERY ASSOCIATES LLC is a surgeon in Shrewsbury, NJ. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. The assigned NPI number for this provider is 1154485332 and is registered as an organization entity type and is a single specialty group.

The provider's business address is:

655 SHREWSBURY AVE
SUITE 210
SHREWSBURY, NJ
ZIP 07702-179
Phone: (732) 747-4744
Fax: (732) 747-4751

The provider's authorized official is Joseph E Cauda .
The authorized official title is Physician and has the following contact phone number (732) 747-4744.

The enumeration date for this NPI number is 12/21/2006 and was last updated on 1/16/2009.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 208600000X Surgery MA41837 NJ Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 069353 MEDICARE ID-TYPE UNSPECIFIED
2 1392000 MEDICAID NJ
3 C55226 MEDICARE UPIN

NPI Record

No. Field Name Field Value
1 NPI 1154485332
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name SHREWSBURY VASCULAR AND GENERAL SURGERY ASSOCIATES LLC
5 Provider First Line Business Practice Location Address 655 SHREWSBURY AVE
6 Provider Second Line Business Practice Location Address SUITE 210
7 Provider Business Practice Location Address City Name SHREWSBURY
8 Provider Business Practice Location Address State Name NJ
9 Provider Business Practice Location Address Postal Code 077024179
10 Provider Business Practice Location Address Country Code If outside U S US
11 Provider Business Practice Location Address Telephone Number 7327474744
12 Provider Business Practice Location Address Fax Number 7327474751
13 Provider Enumeration Date 12/21/2006
14 Last Update Date 1/16/2009
15 Authorized Official Last Name CAUDA
16 Authorized Official First Name JOSEPH
17 Authorized Official Middle Name E
18 Authorized Official Title or Position PHYSICIAN
19 Authorized Official Telephone Number 7327474744
20 Healthcare Provider Taxonomy Code 1 208600000X
21 Provider License Number 1 MA41837
22 Provider License Number State Code 1 NJ
23 Healthcare Provider Primary Taxonomy Switch 1 Y
24 Other Provider Identifier 1 069353
25 Other Provider Identifier Type Code 1 04
26 Other Provider Identifier 2 1392000
27 Other Provider Identifier Type Code 2 05
28 Other Provider Identifier State 2 NJ
29 Other Provider Identifier 3 C55226
30 Other Provider Identifier Type Code 3 02
31 Is Organization Subpart N
32 Authorized Official Credential Text MD
33 Healthcare Provider Taxonomy Group 1 193400000X SINGLE SPECIALTY GROUP

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This page was last updated on: 11/14/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.