Provider Demographics
NPI:1710191424
Name:VASCULAR DIAGNOSTIC ASSOC., PC
Entity Type:Organization
Organization Name:VASCULAR DIAGNOSTIC ASSOC., PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:J
Authorized Official - Last Name:KAPLITT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-886-0600
Mailing Address - Street 1:4161 KISSENA BLVD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-3105
Mailing Address - Country:US
Mailing Address - Phone:718-886-0600
Mailing Address - Fax:718-886-5553
Practice Address - Street 1:4161 KISSENA BLVD
Practice Address - Street 2:SUITE 4
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3105
Practice Address - Country:US
Practice Address - Phone:718-886-0600
Practice Address - Fax:718-886-5553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Not Answered207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear CardiologyGroup - Multi-Specialty
Not Answered2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0003250OtherGHI
NY0111451OtherAETNA USHEALTHCARE
NMW94081OtherEMPIRE BCBS
NY0111451OtherAETNA USHEALTHCARE
NY40128Medicare ID - Type Unspecified