Organization Active NPI

Vascular Medicine of New York, PLLC

  • Specialist
  • Bronx, NY
National Provider Identifier
1417586595
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
VASCULAR MEDICINE OF NEW YORK, PLLC
Practice address
3250 Westchester Ave Ste 201
Bronx, NY 10461-4580
Phone
(301) 486-4690
NPI assigned
Apr 2, 2020
Organization subpart
Yes
Parent organization
CENTER FOR VASCULAR MEDICINE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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

Authorized official

Name
Richard Kennedy, PA-C
Title
Chief Executive Office
Phone
(301) 982-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

3250 Westchester Ave Ste 201
Bronx, NY 10461-4580

Mailing address

7474 Greenway Center Dr Ste 900
Greenbelt, MD 20770-3504
Phone (301) 982-2000

National Provider Directory

National Provider Directory
Part of
Center for Vascular Med

NPI Registry JSON

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585785600000",
    "number": "1417586595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7474 GREENWAY CENTER DR STE 900",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703504",
            "telephone_number": "301-982-2000",
            "fax_number": "301-982-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 WESTCHESTER AVE STE 201",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104614580",
            "telephone_number": "301-486-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR MEDICINE OF NEW YORK, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTER FOR VASCULAR MEDICINE LLC",
        "enumeration_date": "2020-04-02",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICE",
        "authorized_official_telephone_number": "301-982-2000",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.

Verify at the official NPI Registry.