Park Vascular LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

126307 Issued in NY

Legal business name

PARK VASCULAR LLC

Practice address

990 E 23Rd St
Brooklyn, NY 11210-3622

Phone

(718) 258-2437

Fax

(718) 228-4233

NPI assigned

Dec 30, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Michael Fuchs, MD, RVT

Title

Member, Physician, Vascular Tech

Phone

(718) 853-4200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1419897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1245628163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 E 23RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112103622",
            "telephone_number": "718-258-2437",
            "fax_number": "718-228-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 E 23RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112103622",
            "telephone_number": "718-258-2437",
            "fax_number": "718-228-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK VASCULAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-30",
        "last_updated": "2014-12-30",
        "status": "A",
        "authorized_official_last_name": "FUCHS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MEMBER, PHYSICIAN, VASCULAR TECH",
        "authorized_official_telephone_number": "718-853-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, RVT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "126307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Park Slope Specialized Services LLC
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• Park Sports Physical Therapy and Park Slope Occupational Therapy PLLC
• Park Sports Physical Therapy and Park Slope Occupational Therapy, PLLC
• Park Surgical Co.,Inc.
• Austin Park, MS, RDN
• Christie Sunjae Park
• Christine Park
• Dong Hyouk Park
• Dong Soon Park, D.C.

• Clinical Medical Laboratory in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Medical Laboratory in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; 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.