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NUTLEY VASCULAR CLINIC
NPI 1609646066
Surgery - Vascular Surgery in Nutley, NJ

Active since January 08, 2024
410 CENTRE ST, NUTLEY, NJ 07110(404) 242-9621(845) 362-8474 Get Directions Write a Review

NPPES record last updated: February 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nutley Vascular Clinic NPPES

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

NUTLEY VASCULAR CLINIC (NPI 1609646066) is a healthcare organization registered as a vascular surgery in Nutley, New Jersey and active in the NPI registry since January 2024. The organization lists Steve Odeh, Owner, as its authorized official.

NPPES Registry Identity

NPI1609646066
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameNUTLEY VASCULAR CLINIC
Location Address410 CENTRE STNutley, NJ 07110-1635
Mailing Address410 Centre StNutley, NJ 07110-1635 · (404) 242-9621 · Fax (856) 457-5157
Phone(404) 242-9621
Fax(845) 362-8474
Organization SubpartNo
Authorized OfficialSteve OdehOwner · (404) 242-9621
Enumeration DateJanuary 8, 2024
Last NPPES UpdateFebruary 7, 2026
NPPES CertifiedFebruary 7, 2026
✔ NPI 1609646066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
410 CENTRE ST, Nutley, NJ 07110
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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

Other Providers at the Same Location NPPES 4

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

MONA KHEDKAR M.D.
Radiology (Diagnostic Radiology)
410 CENTRE ST
NUTLEY, NJ 07110
Essex County (973) 661-0006
AMERICAN DIAGNOSTIC IMAGING OF NUTLEY
Clinic/Center (Magnetic Resonance Imaging (MRI))
410 CENTRE ST
NUTLEY, NJ 07110
Essex County (973) 661-2000
MAGNETIC RESONANCE OF N.J. INC
Clinic/Center (Radiology)
410 CENTRE ST
NUTLEY, NJ 07110
Essex County (973) 661-2000
CLINICAL DIAGNOSTIC IMAGING, LLC
Clinic/Center (Radiology)
410 CENTRE ST
NUTLEY, NJ 07110
Essex County (973) 661-2000

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 Nutley Vascular Clinic's NPI number?

The NPI number for Nutley Vascular Clinic is 1609646066. It was assigned to this organization in the NPPES registry on January 8, 2024.

Where is Nutley Vascular Clinic located?

Nutley Vascular Clinic is located at 410 Centre St, Nutley, NJ 07110. The listed phone number is (404) 242-9621.

What is Nutley Vascular Clinic's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Nutley Vascular Clinic was last updated on February 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.