Organization
INNOVATIVE VASCULAR GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFONSO CIERVO MD (OWNER)
(732) 380-1222
Entity
Organization
Contact information
Practice address
142 HIGHWAY 35, SUITE 106A, EATONTOWN, NJ 07724-3427
(732) 380-1222
Mailing address
4 CRAPE MYRTLE DR, HOLMDEL, NJ 07733-1529
(732) 380-1222
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA06756800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2371188001
AMERIHEALTH GROUP #
NJ
01
—
DC4342
RAILROAD MEDICARE GROUP#
NJ
Enumeration date
06/04/2006
Last updated
09/13/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us