Robert Vergara MD PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

ROBERT VERGARA MD PLLC

Practice address

63 Sunset Dr
Sayville, NY 11782-2808

Phone

(631) 307-9892

NPI assigned

Sep 8, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert Vergara, MD

Title

President

Phone

(631) 307-9892

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599523200000",
    "number": "1013521046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 SUNSET DR",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117822808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 SUNSET DR",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117822808",
            "telephone_number": "631-307-9892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT VERGARA MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A",
        "authorized_official_last_name": "VERGARA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-307-9892",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Kane Rice, RN
• Kelsey Richardson
• Janine Riley, LMT
• Brittany Ritchie
• Tanner Robbins
• Maureen Theresa Rockwood
• Alexander Rodrigues
• Alyson Rofrano
• Susan O. Rofrano, P.T.
• Rebecca Rosado, LMSW

• Dermatology Physician in Sayville, NY
• Providers in Sayville, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.