SANCOR MEDICAL ENTERPRISES LLC (SANCOR VASCULAR IMAGING) - NPI NUMBER 1386715787

Summary

Provider Name: SANCOR MEDICAL ENTERPRISES LLC (SANCOR VASCULAR IMAGING)

NPI Number: 1386715787

Clasification: Radiology (2085U0001X)

Specialization: Diagnostic Ultrasound

Address:
3219 E TREMONT AVE
LL2
BRONX, NY
ZIP 10461

Phone Number: (718) 892-6351



Detailed Information

SANCOR MEDICAL ENTERPRISES LLC is a diagnostic ultrasound radiologist in Bronx, NY. The provider is a Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. The assigned NPI number for this provider is 1386715787 and is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Sancor Vascular Imaging.

The provider's business address is:

3219 E TREMONT AVE
LL2
BRONX, NY
ZIP 10461-751
Phone: (718) 892-6351
Fax: (718) 892-6350

The provider's authorized official is Corey Weiner .
The authorized official title is President and has the following contact phone number (973) 890-0037.

The enumeration date for this NPI number is 11/10/2006 and was last updated on 3/31/2008.

Map - Location of Practice

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 2085U0001X Radiology Diagnostic Ultrasound No
2 2086S0129X Surgery Vascular Surgery No
3 2085R0204X Radiology Vascular & Interventional Radiology Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 WZYRV1 MEDICARE PIN NY

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1386715787 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 2 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Employer Identification Number EIN The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
4 Provider Organization Name Legal Business Name SANCOR MEDICAL ENTERPRISES LLC The name of the organization provider. If the provider is an organization, this is the legal business name.
5 Provider Other Organization Name SANCOR VASCULAR IMAGING Other name by which the organization provider is or has been known.
6 Provider Other Organization Name Type Code 3 Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
7 Provider First Line Business Practice Location Address 3219 E TREMONT AVE The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
8 Provider Second Line Business Practice Location Address LL2 The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
9 Provider Business Practice Location Address City Name BRONX The city name in the location address of the provider being identified.
10 Provider Business Practice Location Address State Name NY The State code in the location of the provider being identified.
11 Provider Business Practice Location Address Postal Code 104615751 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
12 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
13 Provider Business Practice Location Address Telephone Number 7188926351 The telephone number associated with the location address of the provider being identified.
14 Provider Business Practice Location Address Fax Number 7188926350 The fax number associated with the location address of the provider being identified.
15 Provider Enumeration Date 11/10/2006 The date the provider was assigned a unique identifier (assigned an NPI).
16 Last Update Date 3/31/2008 The date that a record was last updated or changed.
17 Authorized Official Last Name WEINER The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
18 Authorized Official First Name COREY The first name of the authorized official.
19 Authorized Official Title or Position PRESIDENT The title or position of the authorized official.
20 Authorized Official Telephone Number 9738900037 The 10-position telephone number of the authorized official.
21 Healthcare Provider Taxonomy Code 1 2085U0001X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
22 Healthcare Provider Primary Taxonomy Switch 1 N
23 Healthcare Provider Taxonomy Code 2 2086S0129X
24 Healthcare Provider Primary Taxonomy Switch 2 N
25 Healthcare Provider Taxonomy Code 3 2085R0204X
26 Healthcare Provider Primary Taxonomy Switch 3 Y
27 Other Provider Identifier 1 WZYRV1 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
28 Other Provider Identifier Type Code 1 08 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
29 Other Provider Identifier State 1 NY
30 Is Organization Subpart N
31 Authorized Official Name Prefix Text MR.
32 Healthcare Provider Taxonomy Group 1 193400000X MULTIPLE SINGLE SPECIALTY GROUP
33 Healthcare Provider Taxonomy Group 2 193400000X MULTIPLE SINGLE SPECIALTY GROUP
34 Healthcare Provider Taxonomy Group 3 193400000X MULTIPLE SINGLE SPECIALTY GROUP

Similar Providers Nearby

NPI Provider Name NPI Type Taxonomy
1144385006 DR. JILL A. LEIBMAN Individual Radiology (Diagnostic Radiology)
1023329299 DR. FLAVIO ROBERTO KAMENETZ, MD-PHD Individual Radiology (Diagnostic Radiology)
1023016003 JULIO BAEZ, MD Individual Radiology (Diagnostic Radiology)
1124074539 ALPHA MAGNETIC RESONANCE IMAGING, PC Organization Radiology (Diagnostic Radiology)
1023101268 JONATHAN J TRAMBERT, MD Individual Radiology (Diagnostic Radiology)
1043303282 INESSA A GOLDMAN, MD Individual Radiology (Diagnostic Radiology)
1023112356 PRAMILA TIWARI, MD Individual Radiology (Diagnostic Radiology)
1063505212 ZINA J RICCI, MD Individual Radiology (Diagnostic Radiology)
1104919349 MARCY B JAGUST, MD Individual Radiology (Diagnostic Radiology)
1063516615 DR. SUN H PARK, M.D. Individual Radiology (Diagnostic Radiology)
1063647741 DR. SEONG CHEOL OH, M.D. Individual Radiology (Diagnostic Radiology)
1013000256 MELANIE G KOGAN, MD Individual Radiology (Diagnostic Radiology)


Download NPI Record

Download this NPI record in Text format: Export

Download this NPI record in Excel (CSV) format: Export

Download this NPI record in XML format: Export




This page was last updated on: 4/19/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.