Active NPI
PVC Virginia LLC
- Vascular & Interventional Radiology Physician
- Glen Allen, VA
National Provider Identifier
1619833191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- Legal business name
- PVC VIRGINIA LLC
- Practice address
- 4060 Innslake Dr
Glen Allen, VA 23060-3342 - Phone
- (212) 111-1111
- NPI assigned
- Dec 29, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eli Schiff
- Title
- Ceo
- Phone
- (212) 000-0000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | Primary |
Addresses
Primary practice location
4060 Innslake Dr
Glen Allen, VA 23060-3342
Mailing address
4060 Innslake Dr
Glen Allen, VA 23060-3342
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766966400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766966400000",
"number": "1619833191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4060 INNSLAKE DR",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230603342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4060 INNSLAKE DR",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230603342",
"telephone_number": "212-111-1111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PVC VIRGINIA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-29",
"last_updated": "2025-12-29",
"certification_date": "2025-12-29",
"status": "A",
"authorized_official_last_name": "SCHIFF",
"authorized_official_first_name": "ELI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "212-000-0000"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Allen, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; 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.