MEDICARE: SG ENDOVASCULAR PARTNERS LLC

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	2085R0204X	Vascular & Interventional Radiology Physician

General Provider Information

NPI Number	:	1780423566
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SG ENDOVASCULAR PARTNERS LLC

Provider Business Mailing Address
First Line	:	600C LAKE ST
Second Line	:
City	:	RAMSEY
State	:	NJ
Zip	:	07446-1360
Country	:	US
Telephone Number	:	917-226-1776
Fax Number	:

Provider Business Practice Location Address
First Line	:	600C LAKE ST
Second Line	:
City	:	RAMSEY
State	:	NJ
Zip	:	07446-1360
Country	:	US
Telephone Number	:	917-226-1776
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DAVID GAMBURG
Credential	:	MD
Telephone Number	:	917-226-1776

Provider Enumeration Date	:	05/22/2024
Last Update Date	:	05/22/2024

Similar Medicare Providers

1497157846 — NICOLE A AMARANTE LPC
Practice Location Address:

600C LAKE ST
RAMSEY, NJ
07446-1360

Practice Phone: 201-249-1085
Practice Fax:

1134120298 — DR. DAVID GAMBURG MD
Practice Location Address:

600C LAKE ST
RAMSEY, NJ
07446-1360

Practice Phone: 201-326-4777
Practice Fax: 201-391-1196

1942804505 — MS. RACHEL M. DOBKINS LPC
Practice Location Address:

600C LAKE ST STE 600C
RAMSEY, NJ
07446-1360

Practice Phone: 201-903-2093
Practice Fax:

1255219846 — VICTORIA TENENBAUM SLEEP AND BEHAVIOR COUNSELING LLC
Practice Location Address:

170 WILLIAMS DR
RAMSEY, NJ
07446-2924

Practice Phone: 408-410-1774
Practice Fax:

1073164976 — SARAH G. GREENBERG OTR/L
Practice Location Address:

500 N FRANKLIN TPKE STE 203
RAMSEY, NJ
07446-1177

Practice Phone: 201-928-5245
Practice Fax:

1528902103 — BROOKE ELIZABETH VANDERLAAN
Practice Location Address:

106 N FRANKLIN TPKE
RAMSEY, NJ
07446-1627

Practice Phone: 201-327-4400
Practice Fax:

Directions to “SG ENDOVASCULAR PARTNERS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.