East Tremont Vascular Health Care, PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

202857 Issued in NY

Legal business name

EAST TREMONT VASCULAR HEALTH CARE, PLLC

Practice address

3175 E Tremont Ave
Bronx, NY 10461-5700

Phone

(718) 823-7135

Fax

(718) 823-7136

NPI assigned

Jul 13, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Mayank V PatelNPI 1902804768

Title

Owner

Phone

(718) 823-7135

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mayank V Patel, MD

  • Surgery Physician
  • Bronx, NY
  • NPI 1902804768

  NJ

  Medicare reassignment Care Compare group NPD Authorized official
• Nilesh N Balar, M.D.

  • Vascular Surgery Physician
  • Bronx, NY
  • NPI 1568460491

  NJ

  Medicare reassignment Care Compare group NPD
• Parind Manoj Oza, M.D.

  • Vascular Surgery Physician
  • Bronx, NY
  • NPI 1194847525

  NJ

  Medicare reassignment Care Compare group NPD
• Akhila Sarah Reny

  • Family Nurse Practitioner
  • Bronx, NY
  • NPI 1508733916
  NPD (past)
• Anca Popa, M.D

  • Orthopaedic Surgery Physician
  • North Bergen, NJ
  • NPI 1841331808
  NPD (past)

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1285632117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3175 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104615700",
            "telephone_number": "718-823-7135",
            "fax_number": "718-823-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3175 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104615700",
            "telephone_number": "718-823-7135",
            "fax_number": "718-823-7136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TREMONT VASCULAR HEALTH CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-13",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MAYANK",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-823-7135",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "202857",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "209680",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02594521",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Liam Easton-Calabria, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.