NPIMap

Organization Active NPI

Stephen J Vega MD PLLC

  • Medical Specialty Clinic/Center
  • Pittsford, NY
National Provider Identifier
1023398278
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
225631 Issued in NY
Legal business name
STEPHEN J VEGA MD PLLC
Practice address
1050 Pittsford Victor Rd
BLDG B
Pittsford, NY 14534-3812
Phone
(585) 383-4040
Fax
(585) 383-4051
NPI assigned
Aug 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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

Authorized official

Name
Stephen J Vega, MDNPI 1649200221
Title
Doctor, Owner
Phone
(585) 383-4040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 225631 NY Primary

Addresses

Primary practice location

1050 Pittsford Victor Rd
BLDG B
Pittsford, NY 14534-3812

Mailing address

1050 Pittsford Victor Rd
BLDG B
Pittsford, NY 14534-3812
Phone (585) 383-4040

Other names 1

  • Vega Aesthetic & Reconstruction Surgery Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110826000091 NY Part B Supplier - Clinic/Group Practice 3577733708 Receives reassigned benefits from 5 practitioners
Practice locations: Pittsford, NY

National Provider Directory

National Provider Directory

Locations

1050 Pittsford Victor Rd
Bldg B
Pittsford, NY 14534
Phone (585) 383-4040

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1023398278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 PITTSFORD VICTOR RD",
            "address_2": "BLDG B",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145343812",
            "telephone_number": "585-383-4040",
            "fax_number": "585-383-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 PITTSFORD VICTOR RD",
            "address_2": "BLDG B",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145343812",
            "telephone_number": "585-383-4040",
            "fax_number": "585-383-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN J VEGA MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-19",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "VEGA",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR, OWNER",
        "authorized_official_telephone_number": "585-383-4040",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "225631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vega Aesthetic & Reconstruction Surgery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pittsford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.