Victory Blvd Medical Procedures PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

VICTORY BLVD MEDICAL PROCEDURES PC

Practice address

3860 Victory Blvd
Staten Island, NY 10314

Phone

(718) 370-2222

NPI assigned

Oct 27, 2020

Last updated

Oct 27, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ramin Mostafavi, MDNPI 1619974433

Title

Owner

Phone

(718) 370-2222

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ramin Mostafavi, M.D.

  • Ophthalmology Physician
  • Staten Island, NY
  • NPI 1619974433
  NPD Authorized official

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1568062776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3860 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10314",
            "telephone_number": "718-370-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3860 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10314",
            "telephone_number": "718-370-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY BLVD MEDICAL PROCEDURES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-26",
        "status": "A",
        "authorized_official_last_name": "MOSTAFAVI",
        "authorized_official_first_name": "RAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-370-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth C Victor, LMHC
• Victoria Capuano LCSW PLLC
• Hector Rivera Victoriano, OTR/L
• Victory Ambulatroy Services, LLC
• Victory Behavioral Health Inc (Cardio Behavioral Health The Attention Deficit Worshop)
• Victory Blvd Social Day Care Inc
• Victory Dental PLLC
• Victory Family Pharmacy, LLC (The Apothecary Shoppe)
• Victory Internal Medicine, P.C.
• Victory Medical Group PLLC

• Surgery Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.