Vestal Healthcare, LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

VESTAL HEALTHCARE, LLC

Practice address

27 Park Ave
Binghamton, NY 13903-1605

Phone

(607) 762-2225

Fax

(607) 763-2236

NPI assigned

Aug 18, 2010

Organization subpart

No

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

Authorized official

Name

Barry L. Blanton

Title

Vice President

Phone

(781) 699-9000

Specialties & licenses 1

Addresses

Other names 2

• UHS Dialysis - Park Ave Doing business as
• VESTAL HEALTHCARE, LLC Doing business as

Member of 1

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

• National Medical Care, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bristol, TN
  • NPI 1477570117

  Member Of

  NPD member

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1801101522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 PARK AVE",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139031605",
            "telephone_number": "607-762-2225",
            "fax_number": "607-763-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 PARK AVE",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139031605",
            "telephone_number": "607-762-2225",
            "fax_number": "607-763-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VESTAL HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-18",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "BLANTON",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "781-699-9000"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UHS Dialysis - Park Ave",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VESTAL HEALTHCARE, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Evelyn Vavra
• Eric Veilleux, MD
• Olivia Grace Verdile, AUD
• Vestal Healthcare, LLC
• Vestal Healthcare, LLC
• Vetrivel Vijayakumar
• Sparky Vilsaint, PHARM.D
• Aurelio Fernandez Vinluan Jr., M.D.
• Maria Lynne Vitovsky, DDS
• Zachary Vivenzo

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Binghamton, NY
• Providers in Binghamton, NY by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.