OrganizationActive
Associates in Vascular Care LLC Limb Salvage Center
NPI 1023486925 · Vascular Surgery Physician · Middletown, NJ
Provider details
- NPI number
- 1023486925
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Owano Pennycooke, President(732) 784-6550
- License
- 25MA08547000 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1000 Route 35 South
Suite 300
Middletown, NJ 07748-2606
Phone: (732) 784-6550
Fax: (732) 737-9836
Street-level locationGet directions
Mailing address
3587 Highway 9 North
Freehold, NJ 07728
Registry dates
- Enumerated
- 2015-09-09
- Last updated
- 2015-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.