MEDICARE: VASCULAR DIAGNOSTICS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0129X	Vascular Surgery Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DF0146	OTHER	NJ	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	0398583000	OTHER	NJ	AMERIHEALTH

General Provider Information

NPI Number	:	1972542868
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VASCULAR DIAGNOSTICS

Provider Business Mailing Address
First Line	:	1511 PARK AVE
Second Line	:
City	:	SOUTH PLAINFIELD
State	:	NJ
Zip	:	07080-5516
Country	:	US
Telephone Number	:	908-561-9710
Fax Number	:	908-561-7162

Provider Business Practice Location Address
First Line	:	1511 PARK AVE
Second Line	:
City	:	SOUTH PLAINFIELD
State	:	NJ
Zip	:	07080-5516
Country	:	US
Telephone Number	:	908-561-9710
Fax Number	:	908-561-7162

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DAVID M RICHMAND
Credential	:	M.D.
Telephone Number	:	908-561-9500

Provider Enumeration Date	:	06/06/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1235121229 — DR. EDWIN BLUMBERG MD
Practice Location Address:

1511 PARK AVE , 2ND FLOOR
SOUTH PLAINFIELD, NJ
07080-5516

Practice Phone: 908-756-4438
Practice Fax: 908-756-9160

1902898737 — DR. THOMAS LEOPOLD MD
Practice Location Address:

1511 PARK AVE , 2ND FLOOR
SOUTH PLAINFIELD, NJ
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Practice Phone: 908-756-4438
Practice Fax: 908-756-9160

1881633790 — GARDEN STATE SURGICAL ASSOCIATES, P.A.
Practice Location Address:

1511 PARK AVE
SOUTH PLAINFIELD, NJ
07080-5516

Practice Phone: 908-561-9500
Practice Fax: 908-561-7162

1073553400 — DR. GARY B BREITBART M.D.
Practice Location Address:

1511 PARK AVE
SOUTH PLAINFIELD, NJ
07080-5516

Practice Phone: 908-561-9500
Practice Fax: 908-561-7162

1861435885 — DR. DAVID M RICHMAND M.D.
Practice Location Address:

1511 PARK AVE
SOUTH PLAINFIELD, NJ
07080-5516

Practice Phone: 908-561-9500
Practice Fax: 908-561-7162

1891710356 — ALEC N SIMPSON M.D.
Practice Location Address:

1511 PARK AVE , THIRD FLOOR
SOUTH PLAINFIELD, NJ
07080-5516

Practice Phone: 908-561-9500
Practice Fax: 908-561-7162

Directions to “VASCULAR DIAGNOSTICS ” Practice Location

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