Organization Active NPI

Vascular Radiology Associate PLLC

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1558761445
Registry record updated Jun 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
230744 Issued in NY
Legal business name
VASCULAR RADIOLOGY ASSOCIATE PLLC
Practice address
4310 Church Ave
Brooklyn, NY 11203-3102
Phone
(718) 287-1000
NPI assigned
Aug 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2018

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

Authorized official

Name
Steve Ideyi
Title
MD
Phone
(718) 384-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 230744 NY Primary

Addresses

Primary practice location

4310 Church Ave
Brooklyn, NY 11203-3102

Mailing address

4310 Church Ave
Brooklyn, NY 11203-3102

National Provider Directory

National Provider Directory

Locations

4310 Church Ave
Brooklyn, NY 11203
Phone (718) 282-0006

18730 Hillside Ave
Ste B
Jamaica, NY 11432
Phone (631) 470-5570

NPI Registry JSON

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528934400000",
    "number": "1558761445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112033102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112033102",
            "telephone_number": "718-287-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR RADIOLOGY ASSOCIATE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-27",
        "last_updated": "2018-06-14",
        "status": "A",
        "authorized_official_last_name": "IDEYI",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-384-6500"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "230744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; 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.