Vestal Healthcare, LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

VESTAL HEALTHCARE, LLC

Doing business as

Saratoga Springs Dialysis

Practice address

373 Church St.
Saratoga Springs, NY 12866-8626

Phone

(518) 434-6565

Fax

(518) 434-6611

NPI assigned

Sep 18, 2014

Organization subpart

Yes

Parent organization

FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

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

Authorized official

Name

Mark R. Fawcett

Title

VP and Treasuer

Phone

(781) 699-9000

Specialties & licenses 1

Addresses

Other names 1

• Saratoga Springs Dialysis Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1063814333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 CHURCH ST.",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128668626",
            "telephone_number": "518-434-6565",
            "fax_number": "518-434-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 CHURCH ST.",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128668626",
            "telephone_number": "518-434-6565",
            "fax_number": "518-434-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VESTAL HEALTHCARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2014-09-18",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "VP AND TREASUER",
        "authorized_official_telephone_number": "781-699-9000"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saratoga Springs Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julianne Marie Vecere, RN
• Kimberly Nicole Velazquez
• Stephanie Susan Verleger, MD
• Mark Anthony Verra, MD
• Zachary J Verzillo, DPT
• Alex Gregory Villanueva, M.D.
• Gina C Villiere, LCSW-R
• Maria Vivenzio, D.O.
• Caitlin Vollmer
• Maian Quoc Vu, DDS

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Saratoga Springs, NY
• Providers in Saratoga Springs, NY by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.