Active NPI
John Anthony Vega, CASAC-T
- Addiction (Substance Use Disorder) Counselor
- Bronx, NY
National Provider Identifier
1295380970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 35285
- Practice address
- 3584 Jerome Ave
Bronx, NY 10467-1006 - Phone
- (718) 653-1537
- Fax
- (718) 228-6993
- NPI assigned
- Aug 8, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 35285 | NY | Primary |
Addresses
Primary practice location
3584 Jerome Ave
Bronx, NY 10467-1006
Mailing address
1839 Lexington Ave Apt 6a
New York, NY 10029-2020
Phone (646) 942-2167
Other practice location 1
127 E 105th St
New York, NY 10029-4917
Phone (212) 289-1004 ext. 222
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35285 | NY | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693180800000",
"number": "1295380970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1839 LEXINGTON AVE APT 6A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100292020",
"telephone_number": "646-942-2167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3584 JEROME AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104671006",
"telephone_number": "718-653-1537",
"fax_number": "718-228-6993"
}
],
"practiceLocations": [
{
"address_1": "127 E 105th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100294917",
"country_code": "US",
"telephone_number": "212-289-1004 x222",
"fax_number": "212-876-7230",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VEGA",
"first_name": "JOHN",
"middle_name": "ANTHONY",
"credential": "CASAC-T",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-08",
"last_updated": "2023-08-28",
"certification_date": "2023-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "35285",
"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 Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.