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VITREO RETINAL ASSOCIATES OF NJ PA NPI 1366482838


NPI Information

NPI: 1366482838
Provider Name: VITREO RETINAL ASSOCIATES OF NJ PA
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
36 NEWARK AVE
SUITE 212
BELLEVILLE, NJ
ZIP 07109
Phone: (973) 751-8808
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VITREO RETINAL ASSOCIATES OF NJ PA is an ophthalmology in Belleville, NJ. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. VITREO RETINAL ASSOCIATES OF NJ PA NPI is 1366482838. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

36 NEWARK AVE
SUITE 212
BELLEVILLE, NJ
ZIP 07109-119
Phone: (973) 751-8808
Fax: (973) 751-3095

The provider's authorized official is Francis E Cangemi .
The authorized official title is Owner and has the following contact phone number (973) 751-8808.

The enumeration date for this NPI number is 6/6/2006 and was last updated on 8/25/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1505551MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY
22963400MEDICAIDNEW JERSEY
3CF8219OTHERNEW JERSEYRAILROAD MEDICARE
4CF8219MEDICARE PINNEW 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: 11/14/2023

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