Vestal Healthcare, LLC

Primary specialty

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

Legal business name

VESTAL HEALTHCARE, LLC

Doing business as

Lindenhurst Dialysis Center

Practice address

185 S 10TH St
Lindenhurst, NY 11757-4505

Phone

(631) 956-6060

Fax

(631) 956-6070

NPI assigned

Nov 13, 2014

Last updated

Apr 16, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark E. Caputo

Title

Member

Phone

(206) 816-6505

Specialties & licenses 1

Addresses

Other names 1

• Lindenhurst Dialysis Center Doing business as

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

{
    "created_epoch": "1415836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1073919387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 S 10TH ST",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117574505",
            "telephone_number": "631-956-6060",
            "fax_number": "631-956-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 S 10TH ST",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117574505",
            "telephone_number": "631-956-6060",
            "fax_number": "631-956-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VESTAL HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-13",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "CAPUTO",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "206-816-6505"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lindenhurst Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christos Vasakiris, D.C.
• Rita Ann Vasquez
• Julio Angel Velez Rodriguez, LMSW
• Sambasiva R Venigalla, RPH
• Shawna Nicole Vernisie, LCAT
• Michelle Suzanne Vestuto
• Maura Vezzuto
• Vienna Migliaccio LCSW PLLC
• Vienna Migliaccio LCSW PLLC
• Village of Lindenhurst Inc (Village of Lindenhurst Fire Department)

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Lindenhurst, NY
• Providers in Lindenhurst, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.