Organization Active NPI

Vascular Diagnostics of Li PC

  • Surgery Physician
  • Commack, NY
National Provider Identifier
1366743239
Registry record updated Nov 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
119661 Issued in NY
Legal business name
VASCULAR DIAGNOSTICS OF LI PC
Practice address
283 Commack Rd
Suite 125
Commack, NY 11725-6021
Phone
(631) 499-3505
NPI assigned
Nov 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2010

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

Authorized official

Name
Dr. Lateef Giwa
Title
Medical Director
Phone
(516) 695-7172

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 119661 NY Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 119661 NY

Addresses

Primary practice location

283 Commack Rd
Suite 125
Commack, NY 11725-6021

Mailing address

283 Commack Rd
Suite 125
Commack, NY 11725-6021
Phone (631) 499-3505

National Provider Directory

National Provider Directory

Locations

897 Front St
Uniondale, NY 11553
Phone (516) 486-0094

451 Uniondale Ave
Uniondale, NY 11553
Phone (516) 485-2277

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289260800000",
    "number": "1366743239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 COMMACK RD",
            "address_2": "SUITE 125",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117256021",
            "telephone_number": "631-499-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 COMMACK RD",
            "address_2": "SUITE 125",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117256021",
            "telephone_number": "631-499-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR DIAGNOSTICS OF LI PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-09",
        "last_updated": "2010-11-09",
        "status": "A",
        "authorized_official_last_name": "GIWA",
        "authorized_official_first_name": "LATEEF",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "516-695-7172",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "119661",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NY",
            "license": "119661",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; 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.