NPIMap

Organization Active NPI

Jouvence LLC

  • Vascular Surgery Physician
  • Locust Valley, NY
National Provider Identifier
1003236589
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
256450 Issued in NY
Legal business name
JOUVENCE LLC
Practice address
277 Piping Rock Rd
Locust Valley, NY 11560-2504
Phone
(781) 254-3091
NPI assigned
Apr 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lodze Steckman, M.D.NPI 1215257084
Title
Owner
Phone
(781) 254-3091

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X 256450 NY Primary

Addresses

Primary practice location

277 Piping Rock Rd
Locust Valley, NY 11560-2504

Mailing address

277 Piping Rock Rd
Locust Valley, NY 11560-2504
Phone (781) 254-3091

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1003236589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 PIPING ROCK RD",
            "city": "LOCUST VALLEY",
            "state": "NY",
            "postal_code": "115602504",
            "telephone_number": "781-254-3091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 PIPING ROCK RD",
            "city": "LOCUST VALLEY",
            "state": "NY",
            "postal_code": "115602504",
            "telephone_number": "781-254-3091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOUVENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-23",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "STECKMAN",
        "authorized_official_first_name": "LODZE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-254-3091",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "256450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Locust Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.