METRO VASCULAR CENTER – NPI #1043758790
Clinic/Center

METRO VASCULAR CENTER is an AHC clinic located in PHILADELPHIA, PA. NPPES has assigned the NPI number 1043758790 to METRO VASCULAR CENTER on February 02, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “METRO VASCULAR CENTER” is a dba name, the actual legal business name for this organization is METROPOLITAN NEPHROLOGY ASSOCIATES, PC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 8 years ago on Jul 25, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for METRO VASCULAR CENTER below.

NPI Profile for
METROPOLITAN NEPHROLOGY ASSOCIATES, PC

NPI Number
1043758790
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
METROPOLITAN NEPHROLOGY ASSOCIATES, PC
Doing Business As (dba): METRO VASCULAR CENTER
Primary location
235 N BROAD ST
SUITE 100
PHILADELPHIA, PA 19107
Phone: (215) 568-6822 Fax: (215) 568-6833
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JENNIFER MAXIMENKO
FACILITY ADMINISTRATOR
Phone: (215) 568-6822
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)
2086S0129X
- Surgery / Vascular Surgery		 PA 22371501
2085R0204X
- Radiology / Vascular & Interventional Radiology		 PA 22371501
207RN0300X
- Internal Medicine / Nephrology		 PA 22371501
207RI0011X
- Internal Medicine / Interventional Cardiology		 PA 22371501

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.