NJ ENDOVASCULAR & AMPUTATION PREVENTION LLC NPI 1912412446

NPI Information

  • NPI: 1912412446
  • Provider Name: NJ ENDOVASCULAR & AMPUTATION PREVENTION LLC
  • Classification: Radiology - 2085R0204X
  • Specialization: Vascular & Interventional Radiology
  • Entity Type: Organization
  • CLIA Number: 31D2236331
  • Address: 347 MOUNT PLEASANT AVE STE 100
    WEST ORANGE, NJ
    ZIP 07052
  • Phone: (973) 419-6315

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NPI Details

NJ ENDOVASCULAR & AMPUTATION PREVENTION 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. NJ ENDOVASCULAR & AMPUTATION PREVENTION LLC NPI is 1912412446. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

347 MOUNT PLEASANT AVE STE 100
WEST ORANGE, NJ
ZIP 07052-745
Phone: (973) 419-6315
Fax: (973) 233-5642

The provider's authorized official is John Rundback .
The authorized official title is Owner and has the following contact phone number (973) 947-6586.

The CLIA number assigned to this NPI record is 31D2236331 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/6/2017 and was last updated on 6/10/2025.

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

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: 11/21/2025

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