Organization Active NPI

Nexgen Artery & Vein Institute, LLC

  • Vascular Surgery Physician
  • Bonita Springs, FL
National Provider Identifier
1982035242
Registry record updated Mar 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
NEXGEN ARTERY & VEIN INSTITUTE, LLC
Practice address
28089 Vanderbilt Dr
Suite 201
Bonita Springs, FL 34134-7521
Phone
(914) 376-2967
NPI assigned
Dec 11, 2013
Last updated
Mar 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2015

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

Authorized official

Name
Paula Smith
Title
Director
Phone
(914) 376-2967

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X NU
Vascular Surgery Physician 2086S0129X NU Primary

Addresses

Primary practice location

28089 Vanderbilt Dr
Suite 201
Bonita Springs, FL 34134-7521

Mailing address

28089 Vanderbilt Dr
Suite 201
Bonita Springs, FL 34134-7521
Phone (914) 376-2967

National Provider Directory

National Provider Directory

Locations

28089 Vanderbilt Dr
Ste 201
Bonita Springs, FL 34134
Phone (914) 376-2967

NPI Registry JSON

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1982035242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28089 VANDERBILT DR",
            "address_2": "SUITE 201",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341347521",
            "telephone_number": "914-376-2967",
            "fax_number": "239-405-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28089 VANDERBILT DR",
            "address_2": "SUITE 201",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341347521",
            "telephone_number": "914-376-2967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXGEN ARTERY & VEIN INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-11",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "914-376-2967"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.