MY DOC VEIN TREATMENT CENTER – NPI #1053967539
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Health Care Provider Taxonomy Code for Surgery

MY DOC VEIN TREATMENT CENTER is a surgeon located in GARFIELD, NJ. NPPES has assigned the NPI number 1053967539 to MY DOC VEIN TREATMENT CENTER on August 12, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was previously updated about 5 years ago on Dec 22, 2020. 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 MY DOC VEIN TREATMENT CENTER below.

NPI Profile for
MY DOC VEIN TREATMENT CENTER

NPI Number
1053967539
Enumeration Date

(about 7 years 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
MY DOC VEIN TREATMENT CENTER
Primary location
210 PASSAIC ST
GARFIELD, NJ 07026-1355
Phone: (862) 295-3501 Fax: (862) 295-3502
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JULIE MARINO
MEDICAL DIRECTOR
Phone: (862) 295-3501
Updated
Certification Date
Dec 22, 2020

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
2086S0129X
- Surgery / Vascular Surgery (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.