VIP MEDICAL GROUP OF NJ, LLC (NPI# 1144708538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144708538 |
| Entity Type | Organization |
| Organization Name | VIP MEDICAL GROUP OF NJ, LLC |
| Practice Address |
342 Hamburg Tpke Ste 203 Wayne NJ 07470-2166 |
| Mailing Address |
41 Park Ave Suite#1c New York NY 10016-3486 |
| Practice Telephone | 3474058160 |
| Practice Fax Number | 3474058161 |
| Mailing Telephone | 2125187874 |
| Mailing Fax Number | 3474058161 |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2018-07-30 |
| Authorized Official Name | MICHAEL NGUYEN (OWNER-AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 2125187874 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | LICENSE | 25MA10140500 | 01 |
| Street Address |
342 HAMBURG TPKE STE 203 |
| City | WAYNE |
| State | NJ |
| Zip Code | 07470-2166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427670132 | Vein Treatment Nj LLC | Specialist | 342 Hamburg Tpke Ste 203, Wayne, NJ 07470-2166 | 2020-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073086 | Brightview Hamburg, LLC | Alzheimer Center (Dementia Center) | 1139 Hamburg Turnpike, Wayne, NJ 07470 | 2020-11-03 |
| 1912536301 | Stevenson Dominique | Physician Assistant | 1700 Nj-23 # 170, Wayne, NJ 07470 | 2020-04-07 |
| 1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
| 1508412669 | Jessie Diana Dunitz | Technician | 66 Sandra Lane, Wayne, NJ 07470 | 2019-08-14 |
| 1447737234 | Meza Behavioral Health, Inc. | Psychologist | 40 Edgemont Crescent, Wayne, NJ 07470 | 2018-07-24 |
| 1881188076 | Christine Nolan | Occupational Therapist | 1 Pike Drive, Wayne, NJ 07470 | 2018-06-20 |
| 1033612403 | County of Passaic Department of Finance | Skilled Nursing Facility | 305 Oldham Road, Wayne, NJ 07470 | 2018-03-13 |
| 1144739590 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Allen Drive, Wayne, NJ 07470 | 2017-09-28 |
| 1679096697 | Wafaa Saad | Counselor | 1009 Valley Rd, Wayne, NJ 07470 | 2017-07-21 |
| 1659803138 | Allison Nicole Diangelo | Nurse Practitioner | 1578 Rte 23, Wayne, NJ 07470 | 2017-04-03 |
| Find all providers in zip 07470 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598276701 | D&a Medical Billing and Consulting | Specialist | 120 Bunker Hill Rd, Wayne, NJ 07470-6328 | 2017-10-14 |
| 1699222901 | Raenette Franco | Specialist | 11 Rande Dr., Compassion Works Medical, Wayne, NJ 07470 | 2016-09-02 |
| 1962867614 | Xavier Oliver | Specialist | 4074 Howe Rd, Wayne, MI 48184-1830 | 2015-12-23 |
| 1952643140 | George Harrison Talbot | Specialist | 133 N Wayne Ave, #2, Wayne, PA 19087-3561 | 2013-03-26 |
| 1689919839 | Tatyana Mishin | Specialist | 47 Tanager Ct, Wayne, NJ 07470-8435 | 2012-11-28 |
| 1851689343 | Alexis Tyler Curreri | Specialist | 995 Old Eagle School Rd, Suite 304f, Wayne, PA 19087 | 2011-07-18 |
| 1720371149 | Nabil M Yazgi, M.d. P.a. | Specialist | 401 Hamburg Turnpike, Suite 102, Wayne, NJ 07470-2139 | 2011-05-18 |
| 1730312786 | Laser Spine Institute of Pennsylvania, LLC | Specialist | 656 E Swedesford Rd, Suite 100, Wayne, PA 19087-1606 | 2009-08-25 |
| 1992930440 | Summit Cardiovascular Care, LLC | Specialist | 620 Lee Rd, Suite 120, Wayne, PA 19087-5650 | 2009-05-27 |
| 1972742732 | Mag Group PC | Specialist | 25 Knoll Rd, Wayne, NJ 07470-6125 | 2009-02-18 |
| Find all providers in WAYNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.