Organization Active NPI

Vantage Medical Group

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1285346544
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
VANTAGE MEDICAL GROUP
Practice address
15806 Northern Blvd
Flushing, NY 11358-1641
Phone
(917) 688-2534
Fax
(800) 420-3318
NPI assigned
Dec 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Authorized official

Name
Muhammad I Kafeel, MDNPI 1174756423
Title
President
Phone
(917) 688-2534

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Radiation Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0001X

Addresses

Primary practice location

15806 Northern Blvd
Flushing, NY 11358-1641

Mailing address

PO Box 6054
Spring Hill, FL 34611-6054
Phone (917) 688-2534

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address AM@newagebilling.com Direct

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: am@newagebilling.com

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": "1671408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671408000000",
    "number": "1285346544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6054",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346116054",
            "telephone_number": "917-688-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15806 NORTHERN BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581641",
            "telephone_number": "917-688-2534",
            "fax_number": "800-420-3318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANTAGE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A",
        "authorized_official_last_name": "KAFEEL",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-688-2534",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AM@newagebilling.com",
            "affiliation": "N",
            "endpointDescription": "AM@newagebilling.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "15806 Northern Blvd",
            "city": "Flushing",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113581641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

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