Organization Active NPI

Downtown Vein and Vascular LLC

  • Vascular & Interventional Radiology Physician
  • Brooklyn, NY
National Provider Identifier
1700697810
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
DOWNTOWN VEIN AND VASCULAR LLC
Practice address
121 Dekalb Ave
Brooklyn, NY 11201-5425
Phone
(646) 267-3432
NPI assigned
Jan 17, 2025
Last updated
Dec 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Authorized official

Name
Dr. Sergei Sobolevsky, MDNPI 1831154301
Title
Owner
Phone
(646) 267-3432

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Radiology Physician 2085N0904X
Vascular & Interventional Radiology Physician 2085R0204X Primary
Diagnostic Ultrasound Physician 2085U0001X

Addresses

Primary practice location

121 Dekalb Ave
Brooklyn, NY 11201-5425

Mailing address

117 W Central Blvd Unit 16
Palisades Park, NJ 07650-5002
Phone (646) 267-3432

Other practice location 1

1327 PA-315
Wilkes-Barre, PA 18702
Phone (646) 267-3432

Other practice location 2

10101 Forest Hill Blvd
Wellington, FL 33414-6103
Phone (646) 267-3432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PA, NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20251021000494 FL Part B Supplier - Clinic/Group Practice 4981192168 Receives reassigned benefits from 1 practitioner
Practice locations: Wellington, FL
O20251106000961 PA Part B Supplier - Clinic/Group Practice 4981192168 Receives reassigned benefits from 1 practitioner
Practice locations: Wilkes-Barre, PA
O20251230001395 NY Part B Supplier - Clinic/Group Practice 4981192168 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

117 W Central Blvd
Unit 16
Palisades Park, NJ 07650

1327 Highway 315 Blvd
Wilkes Barre, PA 18702
Phone (646) 267-3432

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": "1737072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766966400000",
    "number": "1700697810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W CENTRAL BLVD UNIT 16",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076505002",
            "telephone_number": "646-267-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 DEKALB AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015425",
            "telephone_number": "646-267-3432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1327 PA-315",
            "address_purpose": "LOCATION",
            "city": "Wilkes-Barre",
            "state": "PA",
            "postal_code": "18702",
            "country_code": "US",
            "telephone_number": "646-267-3432",
            "fax_number": "718-603-9469",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10101 Forest Hill Blvd",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "FL",
            "postal_code": "334146103",
            "country_code": "US",
            "telephone_number": "646-267-3432",
            "fax_number": "718-603-9469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DOWNTOWN VEIN AND VASCULAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A",
        "authorized_official_last_name": "SOBOLEVSKY",
        "authorized_official_first_name": "SERGEI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-267-3432",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

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.

Verify at the official NPI Registry.