Stella Vanegas

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

017340 Issued in NY

Practice address

735 Middle Country Rd
Saint James, NY 11780-3211

Phone

(631) 656-9200

NPI assigned

Jan 29, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Complete Medical Family Care PLLC

  • Family Medicine Physician
  • Saint James, NY
  • NPI 1578820783
  NPD (past)

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1154744027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 HECKSCHER AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117062408",
            "telephone_number": "631-524-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 MIDDLE COUNTRY RD",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117803211",
            "telephone_number": "631-656-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANEGAS",
        "first_name": "STELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-29",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "017340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marla Tufarelli
• Amarisa Tunick
• United Cerebral Palsy Association of Greater Suffolk, Inc.
• Ella Uvaydova
• Kimberly Van Slyck
• Srikanth Venigalla, PHARMD
• Erica Vigliante
• Tracy Vilardi, RN
• Christina M Vilbig
• Village of Nissequogue

• Medical Physician Assistant in Saint James, NY
• Providers in Saint James, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.