Active NPI
Edgar Z Vanegas, MD
- Family Medicine Physician
- Jamaica, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 190283-1
- Practice address
- 8505 167TH St
Jamaica, NY 11432-2621 - Phone
- (718) 658-7482
- Fax
- (718) 658-7531
- NPI assigned
- Oct 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 190283-1 | NY | Primary |
Addresses
Primary practice location
8505 167TH St
Jamaica, NY 11432-2621
Mailing address
8505 167TH St
Jamaica, NY 11432-2621
Phone (718) 658-7482
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01369786 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2510 30TH Ave
Astoria, NY 11102-2448
Phone (718) 932-1000
Hospital & facility affiliations
- Mount Sinai Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 190283-1 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Sinai Hospital | Current | Accepting new patients | |
| The Mount Sinai Hospital | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Family Medicine | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Westbury Family Medical | Family Medicine | Past | Accepting new patients |
| James J. Di Maio, MD, PC | Past | Accepting new patients |
Locations
2715 30th Ave
Long Island City, NY 11102
Phone (718) 267-4808
2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245
150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Astoria, NY
- NPI 1477932275
Family Medicine
-
- General Acute Care Hospital
- Long Island City, NY
- NPI 1013948595
-
- Family Medicine Physician
- Westbury, NY
- NPI 1235226754
-
- Eyewear Supplier
- New York, NY
- NPI 1760227466
-
- Community/Retail Pharmacy
- Astoria, NY
- NPI 1588408421
-
- Internal Medicine Physician
- Carle Place, NY
- NPI 1861670119
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Long Island City, NY
- NPI 1245248939
-
- Rehabilitation Hospital
- New York, NY
- NPI 1669440327
-
- General Acute Care Hospital
- New York, NY
- NPI 1932103413
-
- General Acute Care Hospital
- New York, NY
- NPI 1225295512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299628800000",
"number": "1316034820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8505 167TH ST",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114322621",
"telephone_number": "718-658-7482",
"fax_number": "718-658-7531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8505 167TH ST",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114322621",
"telephone_number": "718-658-7482",
"fax_number": "718-658-7531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANEGAS",
"first_name": "EDGAR",
"middle_name": "Z",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-06",
"last_updated": "2011-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "190283-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01369786",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.