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INNOVATIVE VASCULAR GROUP
NPI 1477591006
Specialist in Eatontown, NJ

Active since June 04, 2006
142 HIGHWAY 35, SUITE 106A, EATONTOWN, NJ 07724(732) 380-1222 Get Directions Write a Review

NPPES record last updated: September 13, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Innovative Vascular Group NPPES

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

INNOVATIVE VASCULAR GROUP (NPI 1477591006) is a healthcare organization registered as a specialist in Eatontown, New Jersey and active in the NPI registry since June 2006. The organization lists Alfonso Ciervo, Owner, as its authorized official.

NPPES Registry Identity

NPI1477591006
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameINNOVATIVE VASCULAR GROUP
Location Address142 HIGHWAY 35, SUITE 106AEatontown, NJ 07724-3427
Mailing Address4 Crape Myrtle DrHolmdel, NJ 07733-1529 · (732) 380-1222
Phone(732) 380-1222
Organization SubpartNo
Authorized OfficialAlfonso CiervoOwner · (732) 380-1222
Enumeration DateJune 4, 2006
Last NPPES UpdateSeptember 13, 2007
✔ NPI 1477591006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NJ · 25MA06756800
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
142 HIGHWAY 35, Eatontown, NJ 07724
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Other Identifiers 3

Other2371188001NJ · Amerihealth Group #
OtherDC4342NJ · Railroad Medicare Group#
Medicare PIN084654NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEVIN LOPYAN MD
Surgery (Vascular Surgery)
142 HIGHWAY 35, SUITE 106
EATONTOWN, NJ 07724
Monmouth County (732) 935-9393
DR. ERIC J ABRAMS D.P.M.
Podiatrist (Foot & Ankle Surgery)
142 HIGHWAY 35, SUITE 104
EATONTOWN, NJ 07724
Monmouth County (732) 542-0777
KEVIN S. LOPYAN, LLC
Surgery (Vascular Surgery)
142 HIGHWAY 35, SUITE 106
EATONTOWN, NJ 07724
Monmouth County (732) 935-9393
SEAHORSE PEDIATRICS LLC
Pediatrics
142 HIGHWAY 35, SUITE 105
EATONTOWN, NJ 07724
Monmouth County (732) 440-7211
DR. ALFONSO CIERVO MD
Specialist
142 HIGHWAY 35, SUITE 106A
EATONTOWN, NJ 07724
Monmouth County (732) 380-1222
MR. STEVEN LEE ELLIS O.D.
Optometrist
142 HIGHWAY 35
EATONTOWN, NJ 07724
Monmouth County (732) 542-0300

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 Innovative Vascular Group's NPI number?

The NPI number for Innovative Vascular Group is 1477591006. It was assigned to this organization in the NPPES registry on June 4, 2006.

Where is Innovative Vascular Group located?

Innovative Vascular Group is located at 142 Highway 35 Suite 106A, Eatontown, NJ 07724. The listed phone number is (732) 380-1222.

What is Innovative Vascular Group's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Innovative Vascular Group was last updated on September 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.