Active NPI
Westbury Family Medical
- Family Medicine Physician
- Westbury, NY
National Provider Identifier
1235226754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 190283-2
- Legal business name
- WESTBURY FAMILY MEDICAL
- Practice address
- 530 Old Country Rd
2A
Westbury, NY 11590-4500 - Phone
- (516) 333-9833
- Fax
- (516) 333-9836
- NPI assigned
- Oct 6, 2006
- Last updated
- May 29, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Edgar Z Vanegas, MD
- Title
- Medical Director
- Phone
- (516) 333-9833
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 190283-2 | NY | Primary |
Addresses
Primary practice location
530 Old Country Rd
2A
Westbury, NY 11590-4500
Mailing address
530 Old Country Rd
Suite 2a
Westbury, NY 11590-4500
Phone (516) 333-9833
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02576630 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
530 Old Country Rd
Ste 2A
Westbury, NY 11590
Phone (516) 333-9833
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Jamaica, NY
- NPI 1316034820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212019200000",
"number": "1235226754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 OLD COUNTRY RD",
"address_2": "SUITE 2A",
"city": "WESTBURY",
"state": "NY",
"postal_code": "115904500",
"telephone_number": "516-333-9833",
"fax_number": "516-333-9836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 OLD COUNTRY RD",
"address_2": "2A",
"city": "WESTBURY",
"state": "NY",
"postal_code": "115904500",
"telephone_number": "516-333-9833",
"fax_number": "516-333-9836"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTBURY FAMILY MEDICAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-06",
"last_updated": "2008-05-29",
"status": "A",
"authorized_official_last_name": "VANEGAS",
"authorized_official_first_name": "EDGAR",
"authorized_official_middle_name": "Z",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "516-333-9833",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NY",
"license": "190283-2",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02576630",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westbury, NY
- Deirdre M. Weatherston, MSED, RBT, BCBA, LBA
- Melissa Beth Weiss
- Lisa Marie Weixler
- Wellness Programs Consulting Inc (Eating Disorders Associates)
- Westbury Drug Corp
- Westbury Medical Care, P.C. (Westbury Total Health Care)
- Westbury Medical. P.C.
- Westbury Pediatrics, PC
- Westbury Physical Therapy and Chiropractic PLLC
- Westbury Physical Therapy and Chiropractic PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.