Active NPI
Vanessa Lugo Hart, D.D.S.
- Pediatric Dentistry
- New York, NY
National Provider Identifier
1316225337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 055551
- Practice address
- 232 W 61St Street
New York, NY 10023-7803 - Phone
- (646) 558-6058
- Fax
- (646) 558-6059
- NPI assigned
- Jul 25, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 055551 | NY | Primary |
Addresses
Primary practice location
232 W 61St Street
New York, NY 10023-7803
Mailing address
2600 Netherland Ave Apt 2012
Bronx, NY 10463-4819
Phone (917) 690-8612
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 |
|---|---|---|---|
| 055551 | NY | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350432000000",
"number": "1316225337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 NETHERLAND AVE APT 2012",
"city": "BRONX",
"state": "NY",
"postal_code": "104634819",
"telephone_number": "917-690-8612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 W 61ST STREET",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100237803",
"telephone_number": "646-558-6058",
"fax_number": "646-558-6059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUGO HART",
"first_name": "VANESSA",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-25",
"last_updated": "2012-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "055551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.