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DMAC VASCULAR LAB LLC
NPI 1023774031
Radiology - Vascular & Interventional Radiology in Glen Ridge, NJ

Active since November 14, 2021
946 BLOOMFIELD AVE LOWR LEVEL, GLEN RIDGE, NJ 07028(973) 743-1121 Get Directions Write a Review

NPPES record last updated: November 14, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dmac Vascular Lab Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DMAC VASCULAR LAB LLC (NPI 1023774031) is a healthcare organization registered as a vascular & interventional radiology in Glen Ridge, New Jersey and active in the NPI registry since November 2021. The organization lists Joseph Degregorio, President, as its authorized official.

NPPES Registry Identity

NPI1023774031
Entity TypeOrganization
Primary Taxonomy2085R0204X
Legal Business NameDMAC VASCULAR LAB LLC
Location Address946 BLOOMFIELD AVE LOWR LEVELGlen Ridge, NJ 07028-1308
Mailing Address946 Bloomfield Ave Lowr LevelGlen Ridge, NJ 07028-1308
Phone(973) 743-1121
Organization SubpartNo
Authorized OfficialJoseph DegregorioPresident · (215) 939-0668
Enumeration DateNovember 14, 2021
NPPES CertifiedNovember 14, 2021
✔ NPI 1023774031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
946 BLOOMFIELD AVE LOWR LEVEL, Glen Ridge, NJ 07028
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dmac Vascular Lab Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Dmac Vascular Lab LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Mazin Khalid, MD
Interventional Cardiology
NPI 1083020812
946 BLOOMFIELD AVE
Glen Ridge, NJ 07028
(973) 743-1121
✔ PECOS✔ Accepts MedicareSame address
Asad Cheema, MD
Cardiac Electrophysiology
NPI 1639171457
946 BLOOMFIELD AVE
Glen Ridge, NJ 07028
(973) 743-1121
✔ PECOS✔ Accepts MedicareSame address
Domenic Mariano, DO
Cardiovascular Disease (Cardiology)
NPI 1457327975
946 BLOOMFIELD AVE
Glen Ridge, NJ 07028
(973) 743-1121
✔ PECOS✔ Accepts MedicareSame address
Joseph Degregorio, MD
Cardiovascular Disease (Cardiology)
NPI 1023086691
946 BLOOMFIELD AVENUE
Glen Ridge, NJ 07028
(973) 743-1121
✔ PECOS✔ Accepts MedicareSame address
James Amato, MD
Cardiovascular Disease (Cardiology)
NPI 1720033426
946 BLOOMFIELD AVE
Glen Ridge, NJ 07028
(973) 743-1121
✔ PECOS✔ Accepts MedicareSame address
Nicole Sunga, FNP, RN
Nurse Practitioner
NPI 1578215141
591 FRANKLIN AVE
Nutley, NJ 07110
(973) 916-0002
✔ PECOS✔ Accepts Medicare3.2 mi
Michael Wilderman, MD
Vascular Surgery
NPI 1497802938
211 ESSEX ST SUITE 102
Hackensack, NJ 07601
(201) 487-8882
✔ PECOS✔ Accepts Medicare9.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dmac Vascular Lab LLC's NPI number?

The NPI number for Dmac Vascular Lab LLC is 1023774031. It was assigned to this organization in the NPPES registry on November 14, 2021.

Where is Dmac Vascular Lab LLC located?

Dmac Vascular Lab LLC is located at 946 Bloomfield Ave Lowr Level, Glen Ridge, NJ 07028. The listed phone number is (973) 743-1121.

What is Dmac Vascular Lab LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Dmac Vascular Lab LLC enrolled in Medicare?

Yes. Dmac Vascular Lab LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dmac Vascular Lab LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 5 Medicare specialties reassign their Medicare billing to Dmac Vascular Lab LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Cardiovascular Disease (Cardiology) (3), Cardiac Electrophysiology (1) and Interventional Cardiology (1). Of these, 5 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dmac Vascular Lab LLC was last updated on November 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.