VASCULAR ACCESS CENTER OF WEST ORANGE LLC NPI 1336279108

NPI Information

  • NPI: 1336279108
  • Provider Name: VASCULAR ACCESS CENTER OF WEST ORANGE, LLC
  • Classification: Radiology - 2085R0204X
  • Specialization: Vascular & Interventional Radiology
  • Entity Type: Organization
  • Address: 347 MOUNT PLEASANT AVE
    SUITE 100
    WEST ORANGE, NJ
    ZIP 07052
  • Phone: (215) 382-3680

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NPI Details

VASCULAR ACCESS CENTER OF WEST ORANGE, LLC is a vascular and interventional radiology radiology in West Orange, NJ. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. VASCULAR ACCESS CENTER OF WEST ORANGE, LLC NPI is 1336279108. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

347 MOUNT PLEASANT AVE
SUITE 100
WEST ORANGE, NJ
ZIP 07052-724
Phone: (215) 382-3680

The provider's authorized official is Seth Sharpe .
The authorized official title is Chief Executive Officer and has the following contact phone number (215) 382-3680.

The enumeration date for this NPI number is 3/7/2007 and was last updated on 5/26/2020.

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
12085R0204XRadiologyVascular & Interventional RadiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10164631MEDICAIDNEW JERSEY

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: 3/30/2025

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