| Vascular Health Llc | |
|
77 Schanck Rd Ste B-3 Freehold NJ 07728-2989 | |
| (732) 952-5353 | |
| (908) 603-0191 |
| Full Name | Vascular Health Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 77 Schanck Rd Ste B-3, Freehold, New Jersey |
| Authorized Official Name and Position | Mir M. Ahmad (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7329525353 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vascular Health Llc 77 Schanck Rd Ste B-3 Freehold NJ 07728-2989 Ph: (732) 952-5353 | Vascular Health Llc 77 Schanck Rd Ste B-3 Freehold NJ 07728-2989 Ph: (732) 952-5353 |
| NPI Number | 1053977801 |
|---|---|
| Provider Enumeration Date | 05/17/2019 |
| Last Update Date | 05/17/2019 |
| Medicare PECOS PAC ID | 5395078000 |
|---|---|
| Medicare Enrollment ID | O20190612002182 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053977801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Primary |
| Provider Name | Lev Pukin |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1609849546 PECOS PAC ID: 2961315767 Enrollment ID: I20031107000473 |
| Provider Name | Daniel W Simon |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1013997428 PECOS PAC ID: 8123086527 Enrollment ID: I20050103000284 |
| Provider Name | Mir Maqbool Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285735860 PECOS PAC ID: 1658496997 Enrollment ID: I20100910000135 |
| Provider Name | David J O'connor |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1063736510 PECOS PAC ID: 5294990172 Enrollment ID: I20120627000009 |
| Provider Name | Scott C Hollander |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609030758 PECOS PAC ID: 8224192323 Enrollment ID: I20140222000282 |
| Provider Name | Habib Khan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1437393063 PECOS PAC ID: 2365756095 Enrollment ID: I20150807014986 |
| Provider Name | Scott A Springer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518906726 PECOS PAC ID: 5698765311 Enrollment ID: I20170426002592 |
| Provider Name | Geraldine R Buerano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255864153 PECOS PAC ID: 8022376458 Enrollment ID: I20171213000042 |
| Provider Name | Carmelita Mendoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710476866 PECOS PAC ID: 1850647025 Enrollment ID: I20180629001555 |
| Provider Name | Rosemarie Encinas Gozum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053870881 PECOS PAC ID: 4486987971 Enrollment ID: I20191126000715 |
| Provider Name | Karamjit Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841839586 PECOS PAC ID: 8224466586 Enrollment ID: I20200319002019 |
| Provider Name | Angel Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063059202 PECOS PAC ID: 2466880653 Enrollment ID: I20200323001169 |
| Provider Name | May Salvacion Alvarez Magistrado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437796885 PECOS PAC ID: 4981025228 Enrollment ID: I20200522000756 |
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