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Contact Information

NJ ENDOVASCULAR & AMPUTATION PREVENTION LLC
1429 BROAD STREET
CLIFTON, NJ07013
 Phone: 973-947-6586
 Fax: 973-947-6647
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for NJ ENDOVASCULAR & AMPUTATION PREVENTION LLC

NPI Number 1912412446
LBN Legal business name NJ ENDOVASCULAR & AMPUTATION PREVENTION LLC
Authorized official JOHN RUNDBACK - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/06/2017
Last updated 06/10/2025 - About 12 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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