Organization Active NPI

Vascular Care PC

  • Vascular Surgery Physician
  • Cicero, NY
National Provider Identifier
1508973298
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
172943 Issued in NY
Legal business name
VASCULAR CARE PC
Practice address
6221 State Route 31
Suite 104
Cicero, NY 13039-8715
Phone
(315) 752-0141
Fax
(315) 752-0142
NPI assigned
Aug 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Authorized official

Name
Dr. Robert A Schwartz, MD
Title
President
Phone
(315) 329-7711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X 172943 NY Primary

Addresses

Primary practice location

6221 State Route 31
Suite 104
Cicero, NY 13039-8715

Mailing address

4221 Medical Center Dr
Fayetteville, NY 13066-6637
Phone (315) 329-7711

Other identifiers 1

IdentifierTypeStateIssuer
01051885MedicaidNY

National Provider Directory

National Provider Directory

Locations

4221 Medical Center Dr
Fayetteville, NY 13066
Phone (315) 329-7561

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1508973298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 MEDICAL CENTER DR",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130666637",
            "telephone_number": "315-329-7711",
            "fax_number": "315-329-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 STATE ROUTE 31",
            "address_2": "SUITE 104",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130398715",
            "telephone_number": "315-752-0141",
            "fax_number": "315-752-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-329-7711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "172943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01051885",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cicero, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.