Active NPI
Visa Vascular Care PC
- Vascular Surgery Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- Legal business name
- VISA VASCULAR CARE PC
- Practice address
- 166 E 88TH St
New York, NY 10128-2255 - Phone
- (212) 433-4421
- NPI assigned
- Nov 14, 2022
- Last updated
- Mar 29, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vicken Nichan Pamoukian, MD
- Title
- Owner
- Phone
- (212) 433-4421
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | Primary |
Addresses
Primary practice location
166 E 88TH St
New York, NY 10128-2255
Mailing address
515 E 79TH St Apt 23B
New York, NY 10075-0780
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2351 Bedford Ave
Bellmore, NY 11710
Phone (516) 781-5070
115 Nassau Ave
Brooklyn, NY 11222
Phone (718) 389-2121
1041 3rd Ave
Ste 200
New York, NY 10065
Phone (212) 362-3470
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.
-
- Vascular Surgery Physician
- Brooklyn, NY
- NPI 1184888968
-
- Vascular Surgery Physician
- New York, NY
- NPI 1174587760
-
- Nurse Practitioner
- New York, NY
- NPI 1114695723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680048000000",
"number": "1922716455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 E 79TH ST APT 23B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100750780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 E 88TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101282255",
"telephone_number": "212-433-4421"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISA VASCULAR CARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-14",
"last_updated": "2023-03-29",
"certification_date": "2023-03-29",
"status": "A",
"authorized_official_last_name": "PAMOUKIAN",
"authorized_official_first_name": "VICKEN",
"authorized_official_middle_name": "NICHAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "212-433-4421",
"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 New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.