Individual provider Active NPI

John Anthony Vega, CASAC-T

  • Addiction (Substance Use Disorder) Counselor
  • Bronx, NY
National Provider Identifier
1295380970
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
35285 Issued in NY
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

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
35285NYMDAddiction (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.

Verify at the official NPI Registry.