Organization Active NPI

Westbury Family Medical

  • Family Medicine Physician
  • Westbury, NY
National Provider Identifier
1235226754
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
190283-2 Issued in NY
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Authorized official

Name
Dr. Edgar Z Vanegas, MDNPI 1316034820
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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
02576630MedicaidNY

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.