Active NPI
Vascular Surgery Associates of N Florida, PA
- Specialist
- Orange Park, FL
National Provider Identifier
1700853157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- VASCULAR SURGERY ASSOCIATES OF N FLORIDA, PA
- Practice address
- 2140 Kingsley Ave
Suite 14
Orange Park, FL 32073-5180 - Phone
- (904) 276-7997
- Fax
- (904) 276-7559
- NPI assigned
- Mar 3, 2006
- 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
- Kerry V Rifkin, MD
- Title
- Physician Owner
- Phone
- (904) 276-7997
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | FL | Primary |
Addresses
Primary practice location
2140 Kingsley Ave
Suite 14
Orange Park, FL 32073-5180
Mailing address
2140 Kingsley Ave
Suite 14
Orange Park, FL 32073-5180
Phone (904) 276-7997
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CM8155 | Other | FL | GROUP RAILROAD MCR |
| 15764 | Other | FL | BCBS PROV # |
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.
-
- Vascular Surgery Physician
- Orange Park, FL
- NPI 1730134644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1700853157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2140 KINGSLEY AVE",
"address_2": "SUITE 14",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320735180",
"telephone_number": "904-276-7997",
"fax_number": "904-276-7559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2140 KINGSLEY AVE",
"address_2": "SUITE 14",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320735180",
"telephone_number": "904-276-7997",
"fax_number": "904-276-7559"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VASCULAR SURGERY ASSOCIATES OF N FLORIDA, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RIFKIN",
"authorized_official_first_name": "KERRY",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "PHYSICIAN OWNER",
"authorized_official_telephone_number": "904-276-7997",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP RAILROAD MCR",
"identifier": "CM8155",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROV #",
"identifier": "15764",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.