Individual provider Active NPI

Aurelio Fernandez Vinluan Jr., M.D.

  • Internal Medicine Physician
  • Binghamton, NY
National Provider Identifier
1265655096
Registry record updated Jun 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
212299 Issued in NY
Practice address
249 Glenwood Rd
Binghamton, NY 13905-1603
Phone
(607) 770-0346
NPI assigned
Apr 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 212299 NY Primary

Addresses

Primary practice location

249 Glenwood Rd
Binghamton, NY 13905-1603

Mailing address

2424 High Ave
Vestal, NY 13850-2712
Phone (607) 798-8765

Other identifiers 1

IdentifierTypeStateIssuer
01973046MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150622002067 NY Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 0941511620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
212299NYMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433894400000",
    "number": "1265655096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 HIGH AVE",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138502712",
            "telephone_number": "607-798-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 GLENWOOD RD",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139051603",
            "telephone_number": "607-770-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINLUAN",
        "first_name": "AURELIO",
        "middle_name": "FERNANDEZ",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2015-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "212299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01973046",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Binghamton, NY

Sources for this page

Verify at the official NPI Registry.