GRADUATE VASCULAR AND ENDOVASCULAR ASSOCIATES, LLC
NPI 1184782989
Surgery - Vascular Surgery in Philadelphia, PA

Active since December 05, 2006
51 N 39TH ST, SUITE 2B, PHILADELPHIA, PA 19104(215) 893-2996 Get Directions Write a Review

NPPES record last updated: July 29, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Graduate Vascular And Endovascular Associates, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRADUATE VASCULAR AND ENDOVASCULAR ASSOCIATES, LLC (NPI 1184782989) is a healthcare organization registered as a vascular surgery in Philadelphia, Pennsylvania and active in the NPI registry since December 2006. The organization lists Mark P Mantell, Owner, as its authorized official.

NPPES Registry Identity

NPI1184782989
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameGRADUATE VASCULAR AND ENDOVASCULAR ASSOCIATES, LLC
Location Address51 N 39TH ST, SUITE 2BPhiladelphia, PA 19104-2640
Mailing Address51 N 39th St, Suite 2bPhiladelphia, PA 19104-2640 · (215) 893-2996
Organization SubpartNo
Authorized OfficialMark P MantellOwner · (215) 893-2996
Enumeration DateDecember 5, 2006
Last NPPES UpdateJuly 29, 2010
NPI 1184782989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

51 N 39TH ST, Philadelphia, PA 19104

Other Identifiers 3

Medicare PIN058507NJ
Medicare UPING30376PA
Medicare PIN054356PA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
51 N 39TH ST
PHILADELPHIA, PA 19104
Urology
51 N 39TH ST, MOB SUITE 300
PHILADELPHIA, PA 19104
Surgery (Trauma Surgery)
51 N 39TH ST
PHILADELPHIA, PA 19104
Registered Nurse
51 N 39TH ST
PHILADELPHIA, PA 19104
Obstetrics & Gynecology (Gynecology)
51 N 39TH ST, MOB 340
PHILA, PA 19104
Internal Medicine (Cardiovascular Disease)
51 N 39TH ST, PHI BLDG STE 2C PENN PRESBYTERIAN MEDICAL CENTER
PHILADELPHIA, PA 19104
Internal Medicine
51 N 39TH ST
PHILADELPHIA, PA 19104
Family Medicine
51 N 39TH ST
PHILADELPHIA, PA 19104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Graduate Vascular And Endovascular Associates, LLC's NPI number?

The NPI number for Graduate Vascular And Endovascular Associates, LLC is 1184782989. It was assigned to this organization in the NPPES registry on December 5, 2006.

Where is Graduate Vascular And Endovascular Associates, LLC located?

Graduate Vascular And Endovascular Associates, LLC is located at 51 N 39th St Suite 2B, Philadelphia, PA 19104. The listed phone number is (215) 893-2996.

What is Graduate Vascular And Endovascular Associates, LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Graduate Vascular And Endovascular Associates, LLC was last updated on July 29, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.