BM Vascular Surgery PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

63766 Issued in NY

Legal business name

BM VASCULAR SURGERY PC

Practice address

7554 Metropolitan Ave
Middle Village, NY 11379-2639

Phone

(516) 220-6995

NPI assigned

Nov 21, 2007

Organization subpart

No

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

Authorized official

Name

Mohan R Badhey

Title

Sole Proprieter

Phone

(516) 220-6995

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Augusto A Zevallos, M.D.

  • Family Medicine Physician
  • Ridgewood, NY
  • NPI 1962547331
  NPD (past)

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1013198704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 STIRRUP LN",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914417",
            "telephone_number": "516-220-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7554 METROPOLITAN AVE",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113792639",
            "telephone_number": "516-220-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BM VASCULAR SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "BADHEY",
        "authorized_official_first_name": "MOHAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SOLE PROPRIETER",
        "authorized_official_telephone_number": "516-220-6995"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "63766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00223574",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lech Biernacki, PT
• Lisa Bisbano, PT, DPT
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• Malcolm Roger Blecher, M.D.
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• Caterina Bondi
• Natalie Borukhova
• Nicolina Christine Botelho

• Specialist in Middle Village, NY
• Providers in Middle Village, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.