Active NPIOrganization

Jersey Coast Vascular Associates PA

Specialist in Brick, New Jersey

NPI Number1790711406
Practice location
425 Jack Martin Blvd, 2ND Floor, Brick, NJ 08724-7732
Fax
732-202-1588
Last updated
July 31, 2013

Jersey Coast Vascular Associates PA is a healthcare organization based in Brick, NJ. Jersey Coast Vascular Associates PA practices in Brick, NJ. The NPI Number for Jersey Coast Vascular Associates PA is 1790711406 and holds a License No. ma49111 (NJ). The current practice location address for Jersey Coast Vascular Associates PA is 425 Jack Martin Blvd, 2ND Floor, Brick, NJ 08724-7732 and can be reached out via phone at 732-202-1058 and via fax at 732-202-1588.

Provider Profile Details

NPI Number
1790711406
Provider Name
Jersey Coast Vascular Associates PA
Provider Entity Type
Organization
Address
425 Jack Martin Blvd, 2ND Floor, Brick, NJ 08724-7732
Phone Number
732-202-1058
Fax Number
732-202-1588
Primary Taxonomy
Specialist · 174400000X
Organization Subpart
No
Authorized Official
Ms. Colleen Cosgrove · Office Manager · 732-202-1500
Provider Enumeration Date
June 24, 2006
Last Update Date
July 31, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
425 Jack Martin Blvd
2ND Floor
Brick, NJ 08724-7732
City
Brick
Zip
08724-7732
Phone Number
732-202-1058
Fax Number
732-202-1588
Brick, NJ 08724Get directions →

Provider Business Mailing Address Details

Address
425 Jack Martin Blvd
2ND Floor
Brick, NJ 08724-7732
City
Brick
State
NJ
Zip
08724-7732
Phone Number
732-202-1058
Fax Number
732-202-1588

License Information

License Number
ma49111
License State
NJ
Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jersey Coast Vascular Associates PA?

The NPI number of Jersey Coast Vascular Associates PA is 1790711406. It was assigned on June 24, 2006 and is currently active in the NPPES registry.

What is the specialty of Jersey Coast Vascular Associates PA?

Jersey Coast Vascular Associates PA is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number ma49111.

Where does Jersey Coast Vascular Associates PA practice?

The practice location is 425 Jack Martin Blvd, 2ND Floor, Brick, NJ 08724-7732. The office can be reached at 732-202-1058 (phone) or 732-202-1588 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790711406 directly on the NPPES registry website.

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