VANTAGE MEDICAL ASSOCIATES NJ PC
NPI 1558170019
Radiology - Vascular & Interventional Radiology in Fair Lawn, NJ

NPI Status: Active since December 30, 2024

Contact Information

1501 BROADWAY
SUITE 1
FAIR LAWN, NJ
ZIP 07410
Phone: (678) 702-7222

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  • Organization
  • Radiology
  • Vascular & Interventional Radiology
  • CLIA Number: 33D2331117
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-25-2027

About VANTAGE MEDICAL ASSOCIATES NJ PC

This page provides the complete NPI Profile along with additional information for Vantage Medical Associates Nj Pc, a provider established in Fair Lawn, New Jersey operating as a Radiology, focusing in vascular & interventional radiology . The healthcare provider is registered in the NPI registry with number 1558170019 assigned on December 2024. The practitioner's primary taxonomy code is 2085R0204X. The provider is registered as an organization and their NPI record was last updated one year ago. Vantage Medical Associates Nj Pc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Michael Jurewicz Md (Owner)

NPI
1558170019
Provider Name
VANTAGE MEDICAL ASSOCIATES NJ PC
Entity Type
Organization
Location Address
1501 BROADWAY SUITE 1 FAIR LAWN, NJ 07410
Location Phone
(678) 702-7222
Mailing Address
1501 BROADWAY, SUITE 1 FAIR LAWN, NJ 07410
Mailing Phone
(718) 970-8700
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-30-2024
Last Update Date
08-15-2025
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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

Radiology Vascular & Interventional Radiology

Taxonomy Code
2085R0204X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

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.

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. MICHAEL JUREWICZ MD

Authorized Official Title
OWNER
Authorized Official Phone
(678) 702-7222

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
33D2331117
Facility Type
Physician Office
Certificate Effective Date
September 26, 2025
Certificate Expiration Date
September 25, 2027
Laboratory Director
MICHAEL JUREWICZ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Vantage Medical Associates Nj Pc 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.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1558170019, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
8
Unchanged
Pos 5
1
Doubled → 2
Pos 6
7
Unchanged
Pos 7
0
Doubled → 0
Pos 8
0
Unchanged
Pos 9
1
Doubled → 2
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 1 → 2 0 → 0 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 0 + 8 + 2 + 7 + 0 + 0 + 2 + 24 = 51

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1558170019.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Internal Medicine
1501 BROADWAY, SUITE 32
FAIR LAWN, NJ 07410
Internal Medicine (Cardiovascular Disease)
1501 BROADWAY, SUITE 4
FAIRLAWN, NJ 07410

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558170019, enumerated as an "organization" on December 30, 2024.

The provider is located at 1501 BROADWAY SUITE 1 FAIR LAWN, NJ 07410 and the phone number is (678) 702-7222.

Radiology with taxonomy code 2085R0204X and a focus in Vascular & Interventional Radiology.