ADVANCED VASCULAR ASSOCIATES, INC.
NPI 1154402154
Surgery in Woodbury, NJ
About Advanced Vascular Associates, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVANCED VASCULAR ASSOCIATES, INC. (NPI 1154402154) is a healthcare organization registered as a surgery in Woodbury, New Jersey and active in the NPI registry since October 2006. The organization lists Kent S Haas, Owner/president, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Advanced Vascular Associates, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Advanced Vascular Associates, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (11)
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 Advanced Vascular Associates, Inc.'s NPI number?
The NPI number for Advanced Vascular Associates, Inc. is 1154402154. It was assigned to this organization in the NPPES registry on October 17, 2006.
Where is Advanced Vascular Associates, Inc. located?
Advanced Vascular Associates, Inc. is located at 127 N Broad St, Woodbury, NJ 08096. The listed phone number is (856) 845-5344.
What is Advanced Vascular Associates, Inc.'s specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Advanced Vascular Associates, Inc. enrolled in Medicare?
Yes. Advanced Vascular Associates, Inc. is registered in the Medicare PECOS enrollment system.
When is Advanced Vascular Associates, Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Advanced Vascular Associates, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 2 Medicare specialties reassign their Medicare billing to Advanced Vascular Associates, Inc.. 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 Nurse Practitioner (10) and Vascular Surgery (1). Of these, 1 practice at this address and 6 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 Advanced Vascular Associates, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Advanced Vascular Associates, Inc. · NPI 1154402154
Surgery organization in Woodbury, New Jersey. Organization record, active in the CMS NPPES registry since October 17, 2006.
## Identity
- **NPI:** 1154402154 (Entity type: Organization)
- **Enumerated:** October 17, 2006
- **Primary specialty:** Surgery · taxonomy 208600000X
- **Organization subpart:** No
- **Authorized official:** Kent Haas, OWNER/PRESIDENT
## Practice location
- **Address:** 127 N BROAD ST, Woodbury, NJ 08096-1718
- **Phone:** (856) 845-5344 · **Fax:** (856) 384-8757
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, New Jersey, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 11 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (10), Vascular Surgery (1); 1 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1154402154) · Data from the CMS NPPES public registry.