NPIMap

Organization Active NPI

Empire State Interventional and Endovascular Medicine PC

  • Vascular Surgery Physician
  • Cedarhurst, NY
National Provider Identifier
1568041739
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
EMPIRE STATE INTERVENTIONAL AND ENDOVASCULAR MEDICINE PC
Practice address
377 Pearsall Ave Ste B
Cedarhurst, NY 11516-1841
Phone
(516) 862-4900
Fax
(516) 862-4902
NPI assigned
Apr 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Authorized official

Name
Rami Sartawi, MDNPI 1063679447
Title
President
Phone
(516) 862-4900

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 Primary

Addresses

Primary practice location

377 Pearsall Ave Ste B
Cedarhurst, NY 11516-1841

Mailing address

456A Central Ave Ste 156
Cedarhurst, NY 11516-1907

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210429000114 NY Part B Supplier - Clinic/Group Practice 5092124206 Receives reassigned benefits from 11 practitioners
Practice locations: Cedarhurst, NY; Rockaway Beach, NY; Port Jefferson Station, NY; Hempstead, NY; Flushing, NY; Far Rockaway, NY; Brooklyn, NY; Brookhaven, NY…

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1155 E Jersey St
Elizabeth, NJ 07201
Phone (732) 987-5122

2300 W Plano Pkwy
#C1E105
Plano, TX 75075

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617667200000",
    "number": "1568041739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456A CENTRAL AVE STE 156",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115161907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 PEARSALL AVE STE B",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115161841",
            "telephone_number": "516-862-4900",
            "fax_number": "516-862-4902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE STATE INTERVENTIONAL AND ENDOVASCULAR MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A",
        "authorized_official_last_name": "SARTAWI",
        "authorized_official_first_name": "RAMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-862-4900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedarhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.