Nepa Vascular Interventions, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

NEPA VASCULAR INTERVENTIONS, LLC

Practice address

1327 Highway 315 Blvd Ste 1
Wilkes Barre, PA 18702-7046

Phone

(570) 855-7005

Fax

(570) 855-7007

NPI assigned

Mar 9, 2023

Last updated

Mar 16, 2023By 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

Luis Nadal, MD

Title

Medical Director

Phone

(570) 855-7005

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1609576354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 HIGHWAY 315 BLVD STE 1",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187027046",
            "telephone_number": "570-855-7005",
            "fax_number": "570-855-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 HIGHWAY 315 BLVD STE 1",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187027046",
            "telephone_number": "570-855-7005",
            "fax_number": "570-855-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPA VASCULAR INTERVENTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "NADAL",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "570-855-7005",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Neare, DNP, FNP-C
• Carli Jo Neiderer, PT
• Randin Charles Nelson, M.D.
• Nepa Dental Group - Wilkes Barre
• Nepa Vascular Interventions LLC
• Jennifer Ann Nesfeder, D.O.
• James Nesler Jr.
• James Alan Nesper, M.D.
• Ryan J. Ness, M.D.
• Kami Leigh Nestler, CRNP

• Medical Specialty Clinic/Center in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• Medical Specialty Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.