Active NPI
Mario Gilberto Vega, M.D.
- Obstetrics & Gynecology Physician
- Bronx, NY
National Provider Identifier
1235428129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 278135
- Practice address
- 1300 Morris Park Ave
Bronx, NY 10461-1900 - Phone
- (917) 880-2444
- NPI assigned
- Mar 31, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reproductive Endocrinology Physician | 207VE0102X | 278135 | NY | |
| Obstetrics & Gynecology Physician | 207V00000X | 278135 | NY | Primary |
Addresses
Primary practice location
1300 Morris Park Ave
Bronx, NY 10461-1900
Mailing address
1300 Morris Park Ave
Bronx, NY 10461-1900
Phone (917) 880-2444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 278135 | NY | MD | Reproductive Endocrinology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450310400000",
"number": "1235428129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 MORRIS PARK AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104611900",
"telephone_number": "917-880-2444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 MORRIS PARK AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104611900",
"telephone_number": "917-880-2444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEGA",
"first_name": "MARIO",
"middle_name": "GILBERTO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-31",
"last_updated": "2015-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "NY",
"license": "278135",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "278135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.