Organization Active NPI

Laser and Vein Center

  • Vascular & Interventional Radiology Physician
  • Brooklyn, NY
National Provider Identifier
1801557657
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
LASER AND VEIN CENTER
Practice address
95 Norman Ave
Brooklyn, NY 11222-2937
Phone
(201) 870-0033
Fax
(219) 300-5903
NPI assigned
Jan 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Authorized official

Name
Benjamin Yam
Title
MD
Phone
(516) 851-4211

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X Primary

Addresses

Primary practice location

95 Norman Ave
Brooklyn, NY 11222-2937

Mailing address

95 Norman Ave
Brooklyn, NY 11222-2937
Phone (201) 870-0033

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1801557657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 NORMAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112222937",
            "telephone_number": "201-870-0033",
            "fax_number": "219-300-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 NORMAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112222937",
            "telephone_number": "201-870-0033",
            "fax_number": "219-300-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASER AND VEIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "YAM",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "516-851-4211"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.