Active NPI
Jeffrey E. Vergales, M.D.
- Pediatric Cardiology Physician
- Hawthorne, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- 338505-01
- Practice address
- 19 Bradhurst Ave Ste 1400
Hawthorne, NY 10532-2140 - Phone
- (914) 614-4250
- NPI assigned
- Oct 15, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | 338505-01 | NY | Primary |
Addresses
Primary practice location
19 Bradhurst Ave Ste 1400
Hawthorne, NY 10532-2140
Mailing address
400 Columbus Ave Ste 200E
Valhalla, NY 10595-1392
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- University of Virginia School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1204 W Main St
FL 6
Charlottesville, VA 22903-2824
Phone (434) 924-5321
19 Bradhurst Ave
Suite 1400
Hawthorne, NY 10532-2144
Phone (914) 493-7620
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 338505-01 | NY | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Page Memorial Hospital, Inc. | Current | Accepting new patients | |
| Shenandoah Memorial Hospital, Inc. | Current | Accepting new patients | |
| University of Virginia Physicians Group | Current | Accepting new patients | |
| Carilion Medical Center | Current | Accepting new patients | |
| Warren Memorial Hospital, Inc. | Current | Accepting new patients | |
| Shenandoah Memorial Hospital, Inc. | Current | Accepting new patients | |
| Warren Memorial Hospital, Inc. | Current | Accepting new patients | |
| Boston Childrens Health Physicians LLP | Current | Accepting new patients | |
| Winchester Medical Center | Current | Accepting new patients | |
| Winchester Medical Center | Current | Accepting new patients | |
| Boston Children'S Health Physicians, LLP | Pediatric Cardiology | Current | Accepting new patients |
| Page Memorial Hospital, Inc. | Current | Accepting new patients | |
| Carilion Medical Center | Current | Accepting new patients | |
| Shenandoah Memorial Hospital Inc. | Current | Accepting new patients | |
| Winchester Medical Center | Current | Accepting new patients | |
| Shenandoah Memorial Hospital, Inc. | Past | Accepting new patients |
Locations
19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235
19 Bradhurst Ave
Ste 1400
Hawthorne, NY 10532
Phone (914) 493-7997
400 Columbus Ave
Ste 200E
Valhalla, NY 10595
Phone (314) 400-4416
100 Woods Rd
#O
Valhalla, NY 10595
1204 W Main St
Charlottesville, VA 22903
Phone (434) 924-0123
Lee St
Fl 4
Charlottesville, VA 22908
1204 W Main St
Fl 6
Charlottesville, VA 22903
Phone (434) 924-0123
1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500
78 Medical Center Dr
Fl 3
Fishersville, VA 22939
351 Valley Health Way
Front Royal, VA 22630
Phone (540) 636-0300
200 Memorial Dr
Luray, VA 22835
Phone (540) 743-4561
213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353
2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128
1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700
240 Shenandoah St
Woodstock, VA 22664
Phone (540) 459-2808
Interoperability endpoints
- jvergales7422@direct.healthsystem.virginia.edu
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 16
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Hawthorne, NY
- NPI 1467454967
Pediatric Cardiology
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Charlottesville, VA
- NPI 1033138250
-
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1730123472
-
- Critical Access Hospital
- Luray, VA
- NPI 1326040684
-
- Rural Health Clinic/Center
- Woodstock, VA
- NPI 1952417735
-
- Emergency Medicine Physician
- Front Royal, VA
- NPI 1164442281
-
- Critical Care Medicine (Internal Medicine) Physician
- Winchester, VA
- NPI 1679711261
-
- Clinical Medical Laboratory
- Sleepy Hollow, NY
- NPI 1588651079
-
- Durable Medical Equipment & Medical Supplies
- Hardy, VA
- NPI 1073324810
-
- Rural Health Clinic/Center
- Front Royal, VA
- NPI 1083236970
-
- Rural Health Clinic/Center
- New Market, VA
- NPI 1740711472
-
- Critical Access Hospital
- Woodstock, VA
- NPI 1033166442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758240000000",
"number": "1073702122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 COLUMBUS AVE STE 200E",
"city": "VALHALLA",
"state": "NY",
"postal_code": "105951392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 BRADHURST AVE STE 1400",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "105322140",
"telephone_number": "914-614-4250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERGALES",
"first_name": "JEFFREY",
"middle_name": "E.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-15",
"last_updated": "2025-09-19",
"certification_date": "2025-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "NY",
"license": "338505-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hawthorne, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.