Active NPI
Javiel Vega
- Social Worker
- Bronx, NY
National Provider Identifier
1396329405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 103546-1
- Practice address
- 2888 Grand Concourse FL 2
Bronx, NY 10458-2708 - Phone
- (718) 654-1465
- NPI assigned
- May 6, 2021
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 103546-1 | NY | Primary |
Addresses
Primary practice location
2888 Grand Concourse FL 2
Bronx, NY 10458-2708
Mailing address
2888 Grand Concourse FL 2
Bronx, NY 10458-2708
Phone (718) 654-1465
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 |
|---|---|---|---|
| 103546-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620259200000",
"number": "1396329405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2888 GRAND CONCOURSE FL 2",
"city": "BRONX",
"state": "NY",
"postal_code": "104582708",
"telephone_number": "718-654-1465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2888 GRAND CONCOURSE FL 2",
"city": "BRONX",
"state": "NY",
"postal_code": "104582708",
"telephone_number": "718-654-1465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEGA",
"first_name": "JAVIEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-06",
"last_updated": "2021-05-06",
"certification_date": "2021-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": "NY",
"license": "103546-1",
"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 May 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.