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ADVANCED VASCULAR ASSOCIATES PC NPI 1497743819


NPI Information

NPI: 1497743819
Provider Name: ADVANCED VASCULAR ASSOCIATES, PC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

CLIA Number: 31D2040308

Address:
131 MADISON AVE
2ND FLOOR
MORRISTOWN, NJ
ZIP 07960
Phone: (973) 540-9700
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ADVANCED VASCULAR ASSOCIATES, PC is a vascular surgery surgery in Morristown, 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. ADVANCED VASCULAR ASSOCIATES, PC NPI is 1497743819. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

131 MADISON AVE
2ND FLOOR
MORRISTOWN, NJ
ZIP 07960-360
Phone: (973) 540-9700
Fax: (973) 540-9717

The provider's authorized official is Amit V Patel .
The authorized official title is President and has the following contact phone number (973) 540-9700.

The CLIA number assigned to this NPI record is 31D2040308 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/10/2005 and was last updated on 11/8/2010.


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
12086S0129XSurgeryVascular SurgeryMA60938NEW JERSEYNo
22086S0129XSurgeryVascular SurgeryMA58805NEW JERSEYNo
32086S0129XSurgeryVascular SurgeryMA74188NEW JERSEYNo
42086S0129XSurgeryVascular SurgeryMA80542NEW JERSEYNo
52086S0129XSurgeryVascular SurgeryMA60608NEW JERSEYYes

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
1034381MEDICARE ID-TYPE UNSPECIFIED
28123306MEDICAIDNEW 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: 4/28/2024

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