Organization Active NPI

Veins LLC

  • Vascular Specialist/Technologist Cardiovascular
  • Islip Terrace, NY
National Provider Identifier
1780089987
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Specialist/Technologist CardiovascularTaxonomy code 246XC2903X
Legal business name
VEINS LLC
Practice address
56 Craig Rd
Islip Terrace, NY 11752
Phone
(631) 882-9044
NPI assigned
Oct 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2014

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

Authorized official

Name
Mr. Richard James Dittmar III, BA, RVT, RDCS
Title
Owner
Phone
(631) 882-9044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Specialist/Technologist CardiovascularGroup: 193400000X SINGLE SPECIALTY GROUP 246XC2903X Primary

Addresses

Primary practice location

56 Craig Rd
Islip Terrace, NY 11752

Mailing address

56 Craig Rd
Islip Terrace, NY 11752
Phone (631) 882-9044

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1780089987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 CRAIG RD",
            "city": "ISLIP TERRACE",
            "state": "NY",
            "postal_code": "11752",
            "telephone_number": "631-882-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 CRAIG RD",
            "city": "ISLIP TERRACE",
            "state": "NY",
            "postal_code": "11752",
            "telephone_number": "631-882-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEINS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "DITTMAR",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-882-9044",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "BA, RVT, RDCS"
    },
    "taxonomies": [
        {
            "code": "246XC2903X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Vascular Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Islip Terrace, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.