{"npi":"1285632117","type":"NPI-2","status":"active","name":{"display":"East Tremont Vascular Health Care, PLLC","other":[],"organization_name":"EAST TREMONT VASCULAR HEALTH CARE, PLLC","authorised_official":"Mayank Patel"},"specialty":{"primary_taxonomy":"208600000X","primary_taxonomy_description":"Surgery","slug":"surgery","schema_org_specialty":"Surgical","all":[{"code":"2086S0129X","description":"Vascular Surgery Physician","primary":false,"state":"NY","license":"209680"},{"code":"208600000X","description":"Surgery","primary":true,"state":"NY","license":"202857"}]},"addresses":[{"purpose":"LOCATION","street_1":"3175 E TREMONT AVE","city":"BRONX","state":"NY","postal_code":"104615700","country_code":"US","phone":"7188237135","fax":"7188237136"},{"purpose":"MAILING","street_1":"3175 E TREMONT AVE","city":"BRONX","state":"NY","postal_code":"104615700","country_code":"US","phone":"7188237135","fax":"7188237136"}],"license":{"state":"NY","number":"202857"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"02594521","state":"NY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20070905000026","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"NY","pac_id":"2668565888"},{"enrlmt_id":"O20071031000097","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"NJ","pac_id":"2668565888"}]},"enumeration_date":"2005-07-13","last_updated":"2014-02-19","_meta":{"source":"NPPES","snapshot_date":"2014-02-19","doc_url":"https://findmynpi.com/api"}}