Organization Active NPI

Artery and Vein Institute, LLC

  • Vascular Surgery Physician
  • East Norriton, PA
National Provider Identifier
1376930552
Registry record updated Mar 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD427860 Issued in PA
Legal business name
ARTERY AND VEIN INSTITUTE, LLC
Practice address
2924 Swede Rd
East Norriton, PA 19401-1336
Phone
(484) 370-8140
Fax
(484) 370-8135
NPI assigned
Apr 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2016

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

Authorized official

Name
Joseph L Grisafi, M.D.NPI 1194939736
Title
Sole Member
Phone
(484) 744-1063

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)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X MD427860 PA Primary

Addresses

Primary practice location

2924 Swede Rd
East Norriton, PA 19401-1336

Mailing address

2583 Cold Spring Rd
Lansdale, PA 19446-6065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150717001666 PA Part B Supplier - Clinic/Group Practice 1052624111 Receives reassigned benefits from 2 practitioners
Practice locations: Philadelphia, PA; Sellersville, PA; East Norriton, PA; Langhorne, PA

National Provider Directory

National Provider Directory

Locations

6129 Palmetto St
Philadelphia, PA 19111
Phone (215) 722-8555

Practitioners & affiliated clinicians

Practitioners 2

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": "1429833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457222400000",
    "number": "1376930552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2583 COLD SPRING RD",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194466065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2924 SWEDE RD",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194011336",
            "telephone_number": "484-370-8140",
            "fax_number": "484-370-8135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTERY AND VEIN INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-24",
        "last_updated": "2016-03-06",
        "status": "A",
        "authorized_official_last_name": "GRISAFI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "484-744-1063",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD427860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Norriton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2016; 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.