NPIMap

Organization Active NPI

Vilma Junio Physician PLLC

  • Pediatrics Physician
  • Oswego, NY
National Provider Identifier
1265794457
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
VILMA JUNIO PHYSICIAN PLLC
Practice address
101 W Utica St
Suite B
Oswego, NY 13126-3165
Phone
(315) 342-4217
Fax
(877) 798-8125
NPI assigned
Jun 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Authorized official

Name
Dr. Vilma Junio, MDNPI 1124124334
Title
Physician/President
Phone
(315) 342-4217

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary
Primary Care Clinic/Center 261QP2300X 233306 NY
Primary Care Clinic/Center 261QP2300X 525939 NY

Addresses

Primary practice location

101 W Utica St
Suite B
Oswego, NY 13126-3165

Mailing address

101 W Utica St
Suite B
Oswego, NY 13126-3165
Phone (315) 342-4217

Other identifiers 3

IdentifierTypeStateIssuer
1124124334OtherNPI #
02605847MedicaidNY
1548417819OtherNPI #

National Provider Directory

National Provider Directory
Tax ID family
Vilma Junio Physician PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

101 W Utica St
Ste B
Oswego, NY 13126
Phone (315) 342-4217

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1265794457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W UTICA ST",
            "address_2": "SUITE B",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131263165",
            "telephone_number": "315-342-4217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W UTICA ST",
            "address_2": "SUITE B",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131263165",
            "telephone_number": "315-342-4217",
            "fax_number": "877-798-8125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILMA JUNIO PHYSICIAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-13",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "JUNIO",
        "authorized_official_first_name": "VILMA",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "315-342-4217",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "233306",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "525939",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI #",
            "identifier": "1124124334",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02605847",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI #",
            "identifier": "1548417819",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.