Vadim Fitness Studio, LTD

Primary specialty

Clinical Exercise PhysiologistTaxonomy code 224Y00000X

Legal business name

VADIM FITNESS STUDIO, LTD

Practice address

455 Central Park Ave
Scarsdale, NY 10583-1060

Phone

(914) 725-9553

Fax

(914) 725-4260

NPI assigned

Jun 27, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Vadim Vilensky

Title

President

Phone

(914) 725-9553

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1760833172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 CENTRAL PARK AVE",
            "address_2": "455 CENTRAL PARK AVENUE",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105831060",
            "telephone_number": "914-725-9553",
            "fax_number": "914-725-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 CENTRAL PARK AVE",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105831060",
            "telephone_number": "914-725-9553",
            "fax_number": "914-725-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VADIM FITNESS STUDIO, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-27",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "VILENSKY",
        "authorized_official_first_name": "VADIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-725-9553",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Exercise Physiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Exercise Physiologist in Scarsdale, NY
• Providers in Scarsdale, NY by specialty
• Clinical Exercise Physiologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.