Vascular & Vein Clinics of Northeastern Pennsylvania LLC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

VASCULAR & VEIN CLINICS OF NORTHEASTERN PENNSYLVANIA LLC

Practice address

1789 N Keyser Ave
Scranton, PA 18508-1250

Phone

(570) 231-4480

Fax

(570) 231-4849

NPI assigned

Feb 27, 2024

Organization subpart

No

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

Authorized official

Name

Luis L Nadal, MD

Title

Medical Director

Phone

(570) 490-4017

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1093571911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 VISTA RD",
            "city": "BERWICK",
            "state": "PA",
            "postal_code": "186035613",
            "telephone_number": "570-490-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1789 N KEYSER AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185081250",
            "telephone_number": "570-231-4480",
            "fax_number": "570-231-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR & VEIN CLINICS OF NORTHEASTERN PENNSYLVANIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "NADAL",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "570-490-4017",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominic Vangarelli, LPC
• Jaime L. Vannan, PA-C
• Stefani Lyn Vanston, CRNP
• Anne-Marie Vanwert, MED
• Elvin Varughesekutty, D.O
• Vascular Diagnostic Center PC
• Nico Edward Vasquez, PA-C
• Zachary Thomas Vaughan
• Farah Naz Vayani, MD
• Frank L. Vazquez, BSAT

• Vascular & Interventional Radiology Physician in Scranton, PA
• Providers in Scranton, PA by specialty
• Vascular & Interventional Radiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.