Organization Active NPI

American Vascular Medical PLLC

  • Vascular Surgery Physician
  • Bronx, NY
National Provider Identifier
1053110387
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
AMERICAN VASCULAR MEDICAL PLLC
Practice address
869 E Tremont Ave
Bronx, NY 10460-4207
Phone
(929) 346-7554
NPI assigned
Mar 10, 2025
Last updated
Mar 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Authorized official

Name
Natalie Luchko
Title
Office Manager
Phone
(929) 346-7554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X NU Primary

Addresses

Primary practice location

869 E Tremont Ave
Bronx, NY 10460-4207

Mailing address

869 E Tremont Ave
Bronx, NY 10460-4207
Phone (929) 346-7554

National Provider Directory

National Provider Directory

Locations

869 E Tremont Ave
Bronx, NY 10460
Phone (718) 299-3456

NPI Registry JSON

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1053110387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "869 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104604207",
            "telephone_number": "929-346-7554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "869 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104604207",
            "telephone_number": "929-346-7554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN VASCULAR MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "LUCHKO",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "929-346-7554"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.