Ny Endovascular Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

NY ENDOVASCULAR CENTER LLC

Practice address

505 E 116TH St Ste 300
New York, NY 10029-1704

Phone

(646) 791-2274

Fax

(646) 791-2435

NPI assigned

Jan 12, 2021

Last updated

Jan 13, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Israel Schur, MDNPI 1942275946

Title

Medical Director

Phone

(717) 759-5148

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740879055. Details of each certification follow.

• CCN 33C0001213 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 33C0001213

Legal name

NY Endovascular Center, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Mar 18, 2023

Last certification

Feb 21, 2023

Ownership / control type

Proprietary

Facility address

505 East 116th Street, STE 300
New york, NY 10029

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 11

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.

• Israel Schur, MD

  • Vascular & Interventional Radiology Physician
  • Clifton, NJ
  • NPI 1942275946

  NY

  Medicare reassignment NPD Authorized official
• Ted Lao, MD

  • Nephrology Physician
  • New York, NY
  • NPI 1073007712
  Medicare reassignment NPD
• Joseph Shams, M.D

  • Vascular & Interventional Radiology Physician
  • New York, NY
  • NPI 1659301125
  Medicare reassignment NPD
• Michael Steven Shapiro, MD

  • Vascular Surgery Physician
  • Brooklyn, NY
  • NPI 1184888968
  Medicare reassignment NPD
• Noam Spinowitz, MD

  • Nephrology Physician
  • New York, NY
  • NPI 1609894005
  Medicare reassignment NPD
• Harry H Tsou, MD

  • Vascular & Interventional Radiology Physician
  • Long Island City, NY
  • NPI 1598792632
  Medicare reassignment NPD
• Elsie Koh, MD

  • Vascular & Interventional Radiology Physician
  • Woodland Park, NJ
  • NPI 1679548234

  NY

  Medicare reassignment NPD
• Joshua Aryeh Herbert, MD

  • Nephrology Physician
  • New York, NY
  • NPI 1043847817
  NPD
• Leonardo Ramos Rivera Jr., M.D.

  • General Practice Physician
  • Jamaica, NY
  • NPI 1841567492
  NPD (past)
• Israel Shimonov, RPA-C

  • Physician Assistant
  • Flushing, NY
  • NPI 1619149291
  NPD (past)
• Melissa Vignona, FNP

  • Nurse Practitioner
  • Brooklyn, NY
  • NPI 1619440989
  NPD (past)

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1740879055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 INDUSTRIAL RD",
            "city": "GLEN ROCK",
            "state": "PA",
            "postal_code": "173278626",
            "telephone_number": "833-426-3636",
            "fax_number": "717-759-5435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 E 116TH ST STE 300",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100291704",
            "telephone_number": "646-791-2274",
            "fax_number": "646-791-2435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY ENDOVASCULAR CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "SCHUR",
        "authorized_official_first_name": "ISRAEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "717-759-5148",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Surgical Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Ambulatory Surgical Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.