VESTAL HEALTHCARE, LLC (NPI# 1174188338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174188338 |
| Entity Type | Organization |
| Organization Name | VESTAL HEALTHCARE, LLC |
| Practice Address |
1485 Route 9d Wappingers Falls NY 12590-7167 |
| Practice Telephone | 8458388907 |
| Practice Fax Number | 8458388906 |
| Mailing Telephone | 8458388907 |
| Mailing Fax Number | 8458388906 |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2019-05-03 |
| Authorized Official Name | RYAN PARDO (PRESIDENT) |
| Authorized Official Telephone | 7816999000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Beacon Dialysis Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043609415 | Vestal Healthcare, LLC | Clinic/Center | 1500 Middle Country Rd, Centereach, NY 11720-3500 | 2015-01-22 |
| 1063814333 | Vestal Healthcare, LLC | Clinic/Center | 373 Church St., Saratoga Springs, NY 12866-8626 | 2014-09-18 |
| 1952768640 | Vestal Healthcare, LLC | Clinic/Center | 1776 Eastchester Rd, 2nd Floor, Bronx, NY 10461-2341 | 2016-01-26 |
| 1477918597 | Vestal Healthcare, LLC | Clinic/Center | 65 Pennsylvania Ave, Binghamton, NY 13903-1651 | 2015-12-16 |
| 1073919387 | Vestal Healthcare, LLC | Clinic/Center | 185 S 10th St, Lindenhurst, NY 11757-4505 | 2014-11-13 |
| 1447656756 | Vestal Healthcare, LLC | Clinic/Center | 929 Sunrise Hwy, Bay Shore, NY 11706-5907 | 2014-11-13 |
| 1003239062 | Vestal Healthcare, LLC | Clinic/Center | 52 S Union Rd, Williamsville, NY 14221-6509 | 2014-01-28 |
| 1801101522 | Vestal Healthcare, LLC | Clinic/Center | 27 Park Ave, Binghamton, NY 13903-1605 | 2010-08-18 |
| 1487969671 | Vestal Healthcare, LLC | Clinic/Center | 65 Pennsylvania Ave, Binghamton, NY 13903-1651 | 2010-08-11 |
| Street Address |
1485 ROUTE 9D |
| City | WAPPINGERS FALLS |
| State | NY |
| Zip Code | 12590-7167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245848316 | Andrea K Bliss | Counselor | 37 Vandewater Dr, Wappingers Falls, NY 12590 | 2020-07-15 |
| 1073084166 | Bsv Chiropractic PC | Chiropractor | 1574 Us 9, Suite 13, Wappingers Falls, NY 12590 | 2018-12-16 |
| 1053890145 | Melissa Gjokaj | Licensed Practical Nurse | 32 Booth Boulevard, Wappingers Falls, NY 12590 | 2018-08-09 |
| 1457873358 | Brendan John O'connor | Psychologist | 1289 Route 9 Ste 10, Wappingers Falls, NY 12590 | 2017-07-12 |
| 1356862395 | Mark Krumholtz II | Specialist/Technologist | 23 Kendell Drive, Wappingers Falls, NY 12590 | 2017-06-29 |
| 1881122968 | Darlene Perry | Licensed Practical Nurse | 42 Worth Gilmore Blvd., Wappingers Falls, NY 12590 | 2017-06-01 |
| 1477934685 | Anne Bridget Lopez | Dietitian, Registered | 41 Old Castle Point Road, Wappinger Falls, NY 12590 | 2015-06-12 |
| 1194153056 | Gabriela Zambrano-economico | Case Manager/Care Coordinator | 6110 Princess Circle, Wappingers Falls, NY 12590 | 2013-10-30 |
| 1861827396 | Wappingers Dental, Pllc | Dentist | 115 New Hackensack Road, Wappingers Falls, NY 12590 | 2013-09-03 |
| 1841633740 | Helene D Cohen | Counselor | 2395 Route 9d, Wappinger Falls, NY 12590 | 2013-04-10 |
| Find all providers in zip 12590 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323071 | True North Dialysis Center LLC | Clinic/Center | 668 Middle Country Rd, Selden, NY 11784-2521 | 2020-10-13 |
| 1952908386 | Ulster Dialysis, LLC | Clinic/Center | 900 Miron Ln, Kingston, NY 12401-1567 | 2020-10-08 |
| 1376152868 | True North Dialysis Center LLC | Clinic/Center | 3005 Long Beach Rd, Oceanside, NY 11572 | 2020-07-30 |
| 1043839269 | Knickerbocker Dialysis Inc | Clinic/Center | 5518 Avenue N, Brooklyn, NY 11234-4006 | 2020-04-09 |
| 1942839378 | Knickerbocker Dialysis Inc | Clinic/Center | 479 E Main St, Patchogue, NY 11772-3147 | 2020-04-07 |
| 1225667819 | New York Dialysis Services, Inc | Clinic/Center | 1 East Jericho Turnpike, Mineola, NY 11501 | 2020-04-06 |
| 1205461639 | Knickerbocker Dialysis Inc | Clinic/Center | 1277 Middle Country Rd, Middle Island, NY 11953 | 2020-03-05 |
| 1326678111 | New York Dialysis Services, Inc | Clinic/Center | 794 St Anns Ave, Bronx, NY 10456 | 2020-01-21 |
| 1629617576 | Knickerbocker Dialysis Inc | Clinic/Center | 1633 Route 202 Ste 120, Pomona, NY 10970-2926 | 2019-12-24 |
| 1740824184 | Knickerbocker Dialysis Inc | Clinic/Center | 11 Romaine Ave, Yonkers, NY 10705 | 2019-10-29 |
| Find all providers with the same taxonomy | ||||
| City | WAPPINGERS FALLS |
| Zip Code | 12590 |
Please comment or provide details below to improve the information on VESTAL HEALTHCARE, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.