NPIMap

Organization Active NPI

Mount Sinai Vascular Institute, LLC

  • Vascular & Interventional Radiology Physician
  • Miami Beach, FL
National Provider Identifier
1720757602
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
MOUNT SINAI VASCULAR INSTITUTE, LLC
Practice address
4300 Alton Rd Ste 2071
Miami Beach, FL 33140-2948
Phone
(305) 674-2906
Fax
(305) 674-3927
NPI assigned
Sep 13, 2021
Organization subpart
Yes
Parent organization
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Authorized official

Name
Wayne Chutkan
Title
Senior VP Finance
Phone
(305) 674-2121

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X Primary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X

Addresses

Primary practice location

4300 Alton Rd Ste 2071
Miami Beach, FL 33140-2948

Mailing address

PO Box 527227
Miami, FL 33152-7227
Phone (305) 674-2906

National Provider Directory

National Provider Directory
Tax ID family
Mount Sinai Vascular Institute LLC9 organizations share this tax ID, including this one
Part of
Ecg Readers of MSMC

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4300 Alton Rd
Ste 2245
Miami Beach, FL 33140
Phone (305) 674-2906

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631491200000",
    "number": "1720757602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 527227",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331527227",
            "telephone_number": "305-674-2906",
            "fax_number": "305-674-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 ALTON RD STE 2071",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402948",
            "telephone_number": "305-674-2906",
            "fax_number": "305-674-3927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT SINAI VASCULAR INSTITUTE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC.",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-08-27",
        "status": "A",
        "authorized_official_last_name": "CHUTKAN",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "SENIOR VP FINANCE",
        "authorized_official_telephone_number": "305-674-2121"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.