HERITAGE WOUND CARE LLC NPI 1801447784

NPI Information

NPI: 1801447784
Provider Name: HERITAGE WOUND CARE LLC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

CLIA Number: 31D2246376

Address:
600 PAVONIA AVE STE 5-03
JERSEY CITY, NJ
ZIP 07306
Phone: (201) 771-7331
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HERITAGE WOUND CARE LLC is a vascular surgery surgery in Jersey City, NJ. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. HERITAGE WOUND CARE LLC NPI is 1801447784. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

600 PAVONIA AVE STE 5-03
JERSEY CITY, NJ
ZIP 07306-929
Phone: (201) 771-7331

The provider's authorized official is Nirman Tulsyan .
The authorized official title is Owner and has the following contact phone number (908) 400-8405.

The CLIA number assigned to this NPI record is 31D2246376 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/23/2019 and was last updated on 8/18/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. 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	2086S0129X	Surgery	Vascular Surgery			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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