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EASTERN VASCULAR LLC
NPI 1609960418
Internal Medicine in Denville, NJ

Active since October 03, 2006CLIA 31D2026431 · Waiver
16 POCONO RD, SUITE 313, DENVILLE, NJ 07834(973) 625-0112(973) 625-0721 Get Directions Write a Review

NPPES record last updated: June 8, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eastern Vascular Llc NPPES

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

EASTERN VASCULAR LLC (NPI 1609960418) is a healthcare organization registered as an internal medicine in Denville, New Jersey and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through June 29, 2027 and lists Bruce Lee Mintz, President, as its authorized official.

NPPES Registry Identity

NPI1609960418
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameEASTERN VASCULAR LLC
Location Address16 POCONO RD, SUITE 313Denville, NJ 07834-2901
Mailing Address16 Pocono Rd, Suite 313Denville, NJ 07834-2901 · (973) 625-0112 · Fax (973) 625-0721
Phone(973) 625-0112
Fax(973) 625-0721
Organization SubpartNo
Authorized OfficialBruce Lee MintzPresident · (973) 625-0112
Enumeration DateOctober 3, 2006
Last NPPES UpdateJune 8, 2011
✔ NPI 1609960418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
16 POCONO RD, Denville, NJ 07834
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Other Identifiers 1

Medicare PIN034838NJ

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2026431

Eastern Vascular Associates Primary Care Partner Affiliate · Denville, NJ
Active · expires Jun 29, 2027
CLIA Number31D2026431
Laboratory TypePhysician Office
Certificate Effective DateJune 30, 2025
Certificate Expiration DateJune 29, 2027
Laboratory DirectorBruce L. Mintz
Laboratory Phone(973) 625-0112
Laboratory LocationEastern Vascular Associates Primary Care Partner Affiliate16 Pocono Road Suite 313, Denville, NJ 07834
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

ALANA M SCORZO APRN, FNP-BC
Nurse Practitioner (Family)
16 POCONO RD
DENVILLE, NJ 07834
Morris County (973) 586-3700
DR. MICHAEL GERARD GIRONTA DO
Internal Medicine
16 POCONO RD, SUITE 313
DENVILLE, NJ 07834
Morris County (973) 625-0112
CHARLES ROBERT BUSHONG JR. M.D.
Pediatrics
16 POCONO RD, SUITE 214
DENVILLE, NJ 07834
Morris County (973) 627-6129
LAKELAND UROLOGY L L C
Urology
16 POCONO RD, SUITE 302
DENVILLE, NJ 07834
Morris County (973) 627-3411
ASSOCIATES IN PULMONARY MEDICINE PA
Internal Medicine (Pulmonary Disease)
16 POCONO RD, 217
DENVILLE, NJ 07834
Morris County (800) 750-8616
DIAMOND SPRING DENTAL ASSOCIATES PA
Dentist
16 POCONO RD, SUITE 116
DENVILLE, NJ 07834
Morris County (973) 627-1220
DR. VINCENT CUBELLI M.D.
Urology
16 POCONO RD, SUITE 302
DENVILLE, NJ 07834
Morris County (973) 627-3411
DR. CEM S. OMAY M.D.
Obstetrics & Gynecology
16 POCONO RD
DENVILLE, NJ 07834
Morris County (973) 627-1400

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 Eastern Vascular LLC's NPI number?

The NPI number for Eastern Vascular LLC is 1609960418. It was assigned to this organization in the NPPES registry on October 3, 2006.

Where is Eastern Vascular LLC located?

Eastern Vascular LLC is located at 16 Pocono Rd Suite 313, Denville, NJ 07834. The listed phone number is (973) 625-0112.

What is Eastern Vascular LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Eastern Vascular LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2026431) is associated with this NPI, valid through June 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Eastern Vascular LLC was last updated on June 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.