Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dmac Vascular Lab LLC

Organization Vascular & Interventional Radiology Physician · NPI 1023774031

Dmac Vascular Lab LLC is a Vascular & Interventional Radiology Physician in Glen Ridge, New Jersey. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

946 Bloomfield Ave Lowr Level
Glen Ridge, NJ 07028-1308
Phone: (973) 743-1121
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X

Record details

NPI number1023774031
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Degregorio — President · (215) 939-0668
NPI enumeratedNovember 14, 2021
Last updated in NPPESNovember 14, 2021
Certification dateNovember 14, 2021
Mailing address946 Bloomfield Ave Lowr Level, Glen Ridge, NJ 07028-1308