Individual provider Active NPI

Jeffrey E. Vergales, M.D.

  • Pediatric Cardiology Physician
  • Hawthorne, NY
National Provider Identifier
1073702122
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
338505-01 Issued in NY
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

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130806000640 VA Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology) 9739321688 Reassigns benefits to 6 organizations
I20250917002901 NY Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology) 9739321688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Cardiovascular Disease (Cardiology)
Education
University of Virginia School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Virginia Physicians GroupGroup PAC ID 4880590728, 1,685 clinicians
Boston Children'S Health Physicians LLPGroup PAC ID 8325937014, 80 clinicians

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

LicenseStateTypeSpecialty
338505-01NYMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Page Memorial Hospital, Inc. CurrentSince Feb 25, 2019 Accepting new patients
Shenandoah Memorial Hospital, Inc. CurrentSince Jan 26, 2019 Accepting new patients
University of Virginia Physicians Group CurrentSince Jul 15, 2013 Accepting new patients
Carilion Medical Center CurrentSince Feb 11, 2024 Accepting new patients
Warren Memorial Hospital, Inc. CurrentSince Jan 23, 2019 Accepting new patients
Shenandoah Memorial Hospital, Inc. Current Accepting new patients
Warren Memorial Hospital, Inc. CurrentSince Jan 23, 2019 Accepting new patients
Boston Childrens Health Physicians LLP CurrentSince Oct 1, 2025 Accepting new patients
Winchester Medical Center CurrentSince Dec 26, 2018 Accepting new patients
Winchester Medical Center Current Accepting new patients
Boston Children'S Health Physicians, LLP Pediatric Cardiology CurrentSince Oct 1, 2025 Accepting new patients
Page Memorial Hospital, Inc. CurrentSince Feb 25, 2019 Accepting new patients
Carilion Medical Center CurrentSince Feb 11, 2024 Accepting new patients
Shenandoah Memorial Hospital Inc. CurrentSince Jan 26, 2019 Accepting new patients
Winchester Medical Center CurrentSince Dec 26, 2018 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

  • Direct secure messaging: jvergales7422@direct.healthsystem.virginia.edu
  • FHIR API: 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.

View all 16

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

Verify at the official NPI Registry.