Active NPI
Vascular Lab
- Specialist
- Brooklyn, NY
National Provider Identifier
1285757229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1287291
- Legal business name
- VASCULAR LAB
- Practice address
- 1545 Atlantic Ave
Brooklyn, NY 11213-1122 - Phone
- (718) 613-4090
- Fax
- (718) 837-0398
- NPI assigned
- Apr 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dinker B Rai Sr., MD
- Title
- Director of Vascular Labs
- Phone
- (718) 613-4090
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 1287291 | NY | Primary |
Addresses
Primary practice location
1545 Atlantic Ave
Brooklyn, NY 11213-1122
Mailing address
1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone (718) 613-4090
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00335626 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Vascular Surgery Physician
- Brooklyn, NY
- NPI 1881798486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1285757229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1545 ATLANTIC AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112131122",
"telephone_number": "718-613-4090",
"fax_number": "718-837-0398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1545 ATLANTIC AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112131122",
"telephone_number": "718-613-4090",
"fax_number": "718-837-0398"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VASCULAR LAB",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RAI",
"authorized_official_first_name": "DINKER",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "DIRECTOR OF VASCULAR LABS",
"authorized_official_telephone_number": "718-613-4090",
"authorized_official_name_suffix": "Sr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NY",
"license": "1287291",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00335626",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.