VANTAGE MEDICAL ASSOCIATES NJ PC – NPI #1558170019
Radiology

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Health Care Provider Taxonomy Code for Radiology

VANTAGE MEDICAL ASSOCIATES NJ PC is a radiologist located in FAIR LAWN, NJ. NPPES has assigned the NPI number 1558170019 to VANTAGE MEDICAL ASSOCIATES NJ PC on December 30, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0204X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Vascular & Interventional Radiology

The NPI profile was last updated on Aug 15, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for VANTAGE MEDICAL ASSOCIATES NJ PC below.

NPI Profile for
VANTAGE MEDICAL ASSOCIATES NJ PC

NPI Number
1558170019
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
VANTAGE MEDICAL ASSOCIATES NJ PC
Primary location
1501 BROADWAY
SUITE 1
FAIR LAWN, NJ 07410
Phone: (678) 702-7222 Fax:
Mailing address
1501 BROADWAY, SUITE 1
FAIR LAWN, NJ 07410
Phone: (718) 970-8700 Fax:
Organization Subpart
No
Authorized Official
MICHAEL JUREWICZ
OWNER
Phone: (678) 702-7222
Updated
Certification Date
Aug 15, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0204X
- Radiology / Vascular & Interventional Radiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.