Organization Active NPI

Empire Vascular LLC

  • Vascular Surgery Physician
  • Cedarhurst, NY
National Provider Identifier
1750057006
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
EMPIRE VASCULAR LLC
Practice address
377 Pearsall Ave Ste B
Cedarhurst, NY 11516-1841
Phone
(516) 862-4900
NPI assigned
Aug 17, 2021
Last updated
Aug 17, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
EMPIRE STATE INTERVENTIONAL AND ENDOVASCULAR MEDICINE PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Authorized official

Name
Rami Sartawi, MDNPI 1063679447
Title
President
Phone
(516) 862-4900

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)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

377 Pearsall Ave Ste B
Cedarhurst, NY 11516-1841

Mailing address

456A Central Ave Ste 156
Cedarhurst, NY 11516-1907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211001002222 NJ Part B Supplier - Clinic/Group Practice 2163820309 Receives reassigned benefits from 3 practitioners
Practice locations: Allendale, NJ; Wayne, NJ; Hackensack, NJ; Elizabeth, NJ

National Provider Directory

National Provider Directory
Part of
Empire State Interventional

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

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": "1629158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1750057006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456A CENTRAL AVE STE 156",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115161907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 PEARSALL AVE STE B",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115161841",
            "telephone_number": "516-862-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE VASCULAR LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMPIRE STATE INTERVENTIONAL AND ENDOVASCULAR MEDICINE PC",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "SARTAWI",
        "authorized_official_first_name": "RAMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-862-4900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedarhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.