EASTERN VASCULAR LLC
NPI 1609960418
Internal Medicine in Denville, NJ

NPI Status: Active since October 03, 2006

Contact Information

16 POCONO RD
SUITE 313
DENVILLE, NJ
ZIP 07834
Phone: (973) 625-0112
Fax: (973) 625-0721

Get Directions Reviews

  • Organization
  • Internal Medicine
  • CLIA Number: 31D2026431
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-29-2025

About EASTERN VASCULAR LLC

This page provides the complete NPI Profile along with additional information for Eastern Vascular Llc, an internist established in Denville, New Jersey operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1609960418 assigned on October 2006. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. Eastern Vascular Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Bruce Lee Mintz Do (President)

NPI
1609960418
Provider Name
EASTERN VASCULAR LLC
Entity Type
Organization
Location Address
16 POCONO RD SUITE 313 DENVILLE, NJ 07834
Location Phone
(973) 625-0112
Location Fax
(973) 625-0721
Mailing Address
16 POCONO RD SUITE 313 DENVILLE, NJ 07834
Mailing Phone
(973) 625-0112
Mailing Fax
(973) 625-0721
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-03-2006
Last Update Date
06-08-2011
Code Navigator

An internist like Eastern Vascular Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. BRUCE LEE MINTZ DO

Authorized Official Title
PRESIDENT
Authorized Official Phone
(973) 625-0112

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
034838MEDICARE PIN (08)NJ 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
31D2026431
Facility Type
Physician Office
Certificate Effective Date
June 30, 2023
Certificate Expiration Date
June 29, 2025
Laboratory Director
BRUCE L. MINTZ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Eastern Vascular Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for EASTERN VASCULAR LLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1609960418
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2609186042
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 1 + 8 + 6 + 0 + 4 + 2 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1609960418 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1609861186DR. PAUL C LAM M.D.
Individual
Specialist16 POCONO RD SUITE 110
DENVILLE, NJ 07834
(973) 625-1666
1790766228 GREGG E. ZIMMERMAN MD
Individual
Urology16 POCONO RD SUITE 205
DENVILLE, NJ 07834
(973) 627-0060
1174503148DR. EDWARD J BARBARITO MD
Individual
Specialist16 POCONO RD STE 201
DENVILLE, NJ 07834
(973) 627-4430
1487634457DR. VINCENT J EMILIANI MD
Individual
Specialist16 POCONO RD STE 201
DENVILLE, NJ 07834
(973) 627-4430
1295798775DR. ALEXANDER CHARLES GELLMAN M.D.
Individual
Urology16 POCONO RD SUITE 114
DENVILLE, NJ 07834
(973) 586-3056
1326092115 STEPHANIE B. LEVEY M.D.
Individual
Ophthalmology16 POCONO RD SUITE 301
DENVILLE, NJ 07834
(973) 625-7970
1316991458 JACK GOLDSHLACK DO
Individual
Internal Medicine (Pulmonary Disease)16 POCONO RD
DENVILLE, NJ 07834
(973) 625-5651
1437199957NEMEROFSKY PLASTIC SURGERY CORPORATION
Organization
Plastic Surgery16 POCONO RD SUITE 103
DENVILLE, NJ 07834
(973) 784-1024
1578504890DR. STACEY BETH SIEGEL D.O.
Individual
Obstetrics & Gynecology (Gynecology)16 POCONO RD STE 107
DENVILLE, NJ 07834
(973) 586-8400
1053353474DR. VINCENT CUBELLI M.D.
Individual
Urology16 POCONO RD SUITE 302
DENVILLE, NJ 07834
(973) 627-3411
1447292396 JENNIFER TERESA AGNELLO DO
Individual
Obstetrics & Gynecology16 POCONO RD SUITE 105
DENVILLE, NJ 07834
(973) 664-9211
1801820196FAMILY PRACTICE ASSOCIATES, P.A.
Organization
Family Medicine16 POCONO RD SUITE 110
DENVILLE, NJ 07834
(973) 586-3700
1619991304DR. JESSE A. SILVERMAN M.D.
Individual
Orthopaedic Surgery16 POCONO RD SUITE 217
DENVILLE, NJ 07834
(973) 625-5383
1568556371VASCULAR DIAGNOSTICS, LLC
Organization
Internal Medicine16 POCONO RD SUITE 313
DENVILLE, NJ 07834
(973) 625-0112
1871683516DAVID J. FELDMAN, M.D., P.A.
Organization
Neuromusculoskeletal Medicine, Sports Medicine16 POCONO RD SUITE 100
DENVILLE, NJ 07834
(973) 625-5700
1891877494DR. SALVATORE NAPOLI DDS, MD
Individual
Oral & Maxillofacial Surgery16 POCONO RD SUITE 117
DENVILLE, NJ 07834
(973) 627-1220
1629143623ARTHUR SHEPPELL MD PC
Organization
Internal Medicine16 POCONO RD STE 305
DENVILLE, NJ 07834
(973) 627-0555
1578638581GENERATIONS HEALTHCARE PC
Organization
Internal Medicine16 POCONO RD STE 305
DENVILLE, NJ 07834
(973) 627-0555
1740356195DR. RICHARD N ROTHENBERG M.D.
Individual
Obstetrics & Gynecology16 POCONO RD
DENVILLE, NJ 07834
(973) 627-1400
1053487413DR. CEM S. OMAY M.D.
Individual
Obstetrics & Gynecology16 POCONO RD
DENVILLE, NJ 07834
(973) 627-1400

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609960418, enumerated in the NPI registry as an "organization" on October 03, 2006

The provider is located at 16 Pocono Rd Suite 313 Denville, Nj 07834 and the phone number is (973) 625-0112

This medical organization specializes in Internal Medicine with taxonomy code 207R00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 31D2026431 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on October 03, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.