NPIMap

Organization Active NPI

Mount Sinai Vascular Institute, LLC

  • Vascular & Interventional Radiology Physician
  • Marathon, FL
National Provider Identifier
1326715293
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
MOUNT SINAI VASCULAR INSTITUTE, LLC
Practice address
5701 Overseas Hwy Ste 14
Marathon, FL 33050-2784
Phone
(305) 674-2906
Fax
(305) 674-3927
NPI assigned
Aug 27, 2021
Organization subpart
Yes
Parent organization
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Authorized official

Name
Wayne Chutkan
Title
Senior VP Finance
Phone
(305) 674-2121

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X Primary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X

Addresses

Primary practice location

5701 Overseas Hwy Ste 14
Marathon, FL 33050-2784

Mailing address

PO Box 527227
Miami, FL 33152-7227
Phone (305) 674-2906

National Provider Directory

National Provider Directory
Tax ID family
Mount Sinai Vascular Institute LLC9 organizations share this tax ID, including this one
Part of
Paul a Vignola

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630022400000",
    "number": "1326715293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 527227",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331527227",
            "telephone_number": "305-674-2906",
            "fax_number": "305-674-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 OVERSEAS HWY STE 14",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330502784",
            "telephone_number": "305-674-2906",
            "fax_number": "305-674-3927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT SINAI VASCULAR INSTITUTE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC.",
        "enumeration_date": "2021-08-27",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A",
        "authorized_official_last_name": "CHUTKAN",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "SENIOR VP FINANCE",
        "authorized_official_telephone_number": "305-674-2121"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marathon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.