Organization Active NPI

Long Island Vein Care & Surgery PLLC

  • Vascular Surgery Physician
  • Garden City, NY
National Provider Identifier
1699155655
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
LONG ISLAND VEIN CARE & SURGERY PLLC
Practice address
1325 Franklin Ave
Suite 103B
Garden City, NY 11530-1666
Phone
(516) 536-1818
NPI assigned
Jun 4, 2015
Last updated
Jun 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

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

Authorized official

Name
Dr. Edwin Rosenwasser, M.D.NPI 1225170723
Title
President
Phone
(516) 536-1818

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X NU Primary

Addresses

Primary practice location

1325 Franklin Ave
Suite 103B
Garden City, NY 11530-1666

Mailing address

1325 Franklin Ave
Suite 103B
Garden City, NY 11530-1666
Phone (516) 536-1818

National Provider Directory

National Provider Directory

Locations

1325 Franklin Ave
Ste 103B
Garden City, NY 11530
Phone (516) 536-1818

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1699155655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 FRANKLIN AVE",
            "address_2": "SUITE 103B",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115301666",
            "telephone_number": "516-536-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 FRANKLIN AVE",
            "address_2": "SUITE 103B",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115301666",
            "telephone_number": "516-536-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND VEIN CARE & SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "ROSENWASSER",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-536-1818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.