JW Vascular PA

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

JW VASCULAR PA

Practice address

3201 Griffin Rd Ste 205
Fort Lauderdale, FL 33312-6900

Phone

(305) 647-3660

NPI assigned

Oct 22, 2025

Last updated

Oct 22, 2025By 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

Joel Wolf, MDNPI 1306233911

Title

Owner

Phone

(305) 647-3660

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

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.

• Jacob Joseph Hezghian, FNP

  • Nurse Practitioner
  • Fort Lauderdale, FL
  • NPI 1447009485
  Medicare reassignment Care Compare group
• Chelsea Rutherford, APRN- FNP-C

  • Family Nurse Practitioner
  • Fort Lauderdale, FL
  • NPI 1740755537
  Medicare reassignment Care Compare group
• Joel Andrew Wolf, M.D.

  • Vascular & Interventional Radiology Physician
  • Bala Cynwyd, PA
  • NPI 1306233911

  FL

  Medicare reassignment Authorized official
• Steven Craig Trisker, DNP

  • Nurse Practitioner
  • Greenacres, FL
  • NPI 1124514534
  Medicare reassignment

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

{
    "created_epoch": "1761091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1275400269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 GRIFFIN RD STE 205",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 GRIFFIN RD STE 205",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126900",
            "telephone_number": "305-647-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JW VASCULAR PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-22",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-647-3660",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andre Juste
• Marie Juste
• Alexander G Justicz, MD
• Justin Yovino MD PA
• Juvenis Medical LLC
• Amir Hossein Kaboodrangi, MD, MS, MPH
• Stacey Kaciuban, M.D.
• Timur Kadirov, APRN
• Lorena Kaelber, CNM
• Jarrett Brandon Kagan

• Vascular & Interventional Radiology Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Vascular & Interventional Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.