Nutley Vascular Clinic
NPI 1609646066 · Vascular Surgery Physician · Nutley, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nutley Vascular Clinic is a Vascular Surgery Physician organization in Nutley, NJ (NPI 1609646066).
Provider details
- NPI number
- 1609646066
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Steve Odeh, Owner(404) 242-9621
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Mailing address
Registry dates
- Enumerated
- 2024-01-08
- Last updated
- 2026-02-07
- Certified
- 2026-02-07
Frequently asked questions
- What is Nutley Vascular Clinic's NPI number?
- Nutley Vascular Clinic's National Provider Identifier (NPI) is 1609646066, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Nutley Vascular Clinic?
- Nutley Vascular Clinic is classified in the NPPES registry as Vascular Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Nutley Vascular Clinic located?
- Nutley Vascular Clinic's practice location on file with NPPES is 410 Centre St, Nutley, NJ 07110-1635.
- What is Nutley Vascular Clinic's phone number?
- The practice phone number listed in the NPPES registry for Nutley Vascular Clinic is (404) 242-9621.
- Does Nutley Vascular Clinic accept Medicare?
- Nutley Vascular Clinic is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Nutley Vascular Clinic?
- The authorized official listed on Nutley Vascular Clinic's NPPES record is Steve Odeh, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Nutley Vascular Clinic's NPI active?
- Yes — Nutley Vascular Clinic's NPI (1609646066) is active in the NPPES registry as of the last update on 2026-02-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.