Organization Active NPI

Integrated Vascular Radiology Associates LLC

  • Radiology Clinic/Center
  • Boca Raton, FL
National Provider Identifier
1740825074
Registry record updated Nov 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
INTEGRATED VASCULAR RADIOLOGY ASSOCIATES LLC
Practice address
7777 Glades Rd Ste 100
Boca Raton, FL 33434-4150
Phone
(404) 789-4599
NPI assigned
Nov 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2019

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

Authorized official

Name
Jeffrey Gerstel, MD
Title
MBR
Phone
(404) 789-4599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

7777 Glades Rd Ste 100
Boca Raton, FL 33434-4150

Mailing address

7777 Glades Rd Ste 100
Boca Raton, FL 33434-4150

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL wewew

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1573430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573430400000",
    "number": "1740825074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 GLADES RD STE 100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334344150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 GLADES RD STE 100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334344150",
            "telephone_number": "404-789-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED VASCULAR RADIOLOGY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-11",
        "last_updated": "2019-11-11",
        "status": "A",
        "authorized_official_last_name": "GERSTEL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "404-789-4599",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "wewew",
            "affiliation": "N",
            "address_1": "7777 Glades Rd Ste 100",
            "city": "Boca Raton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334344150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; 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.