Vanguard Medical Services PLLC

Primary specialty

Anatomic Pathology PhysicianTaxonomy code 207ZP0101X

Legal business name

VANGUARD MEDICAL SERVICES PLLC

Doing business as

Vanguard Medical Services PLLC

Practice address

233 Broadway RM 2750
New York, NY 10279-2704

Phone

(212) 889-5544

NPI assigned

Jul 23, 2020

Organization subpart

No

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

Authorized official

Name

Angela Yakutilova

Title

Manager

Phone

(212) 889-5544

Specialties & licenses 1

Addresses

Other names 1

• Vanguard Medical Services PLLC Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

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

• Jean J Luo, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Flushing, NY
  • NPI 1679757892
  Medicare reassignment NPD
• Scott Weber, MD

  • Gastroenterology Physician
  • New York, NY
  • NPI 1871517144
  NPD (past)

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595462400000",
    "number": "1548879802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 E 31ST ST RM 701",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166821",
            "telephone_number": "212-889-5544",
            "fax_number": "212-481-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 BROADWAY RM 2750",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "102792704",
            "telephone_number": "212-889-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANGUARD MEDICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A",
        "authorized_official_last_name": "YAKUTILOVA",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "212-889-5544"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ayakutilova@vanguardgi.com",
            "affiliation": "N",
            "address_1": "233 Broadway Rm 2750",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "102792704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Vanguard Medical Services PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shannon Marie Vangeffen, NP
• Ashley Goldthwait Vangel, PA-C
• John Robert Vangorden, MHC-LP
• Stacey Vangorder, LAC
• Vanguard Gastroenterology LLP
• Alida P. Vanheerden, L.AC.
• Kathryn Vani
• Robert Vani, PT, DPT
• Tina Vani, DDS
• Amanda Marie Vanic

• Anatomic Pathology Physician in New York, NY
• Providers in New York, NY by specialty
• Anatomic Pathology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.