Gotham Vascular Surgery PC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

GOTHAM VASCULAR SURGERY PC

Practice address

166 E 88TH St
New York, NY 10128-2255

Phone

(212) 433-4421

Fax

(718) 744-2742

NPI assigned

Feb 14, 2024

Last updated

Feb 14, 2024By 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

Dr. Vicken Pamoukian, MDNPI 1174587760

Title

President

Phone

(212) 433-4421

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vicken N Pamoukian, MD

  • Vascular Surgery Physician
  • New York, NY
  • NPI 1174587760
  Authorized official Same address or phone
• Michael Steven Shapiro, MD

  • Vascular Surgery Physician
  • Brooklyn, NY
  • NPI 1184888968
  NPD (past)

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1205691821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E 79TH ST APT 23B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750780",
            "telephone_number": "212-433-4421",
            "fax_number": "718-744-2742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 E 88TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101282255",
            "telephone_number": "212-433-4421",
            "fax_number": "718-744-2742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOTHAM VASCULAR SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "PAMOUKIAN",
        "authorized_official_first_name": "VICKEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-433-4421",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gotham Psychotherapy, LCSW, PLLC
• Gotham Registry, Inc.
• Gotham Rolfing LLC
• Gotham Smiles
• Gotham Surgical, PLLC
• Gotham Wellness LLC
• Atlantis Axel Gothe, LMHC
• Rachel Dorf Gotler, PSY.D.
• Efrat Gotlib, LCSW
• Vyacheslav Gotlib, L.AC , MSAC , RN

• Vascular Surgery Physician in New York, NY
• Providers in New York, NY by specialty
• Vascular Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.