Active NPI
Virginia D. Wade, M.D.
- Anesthesiology Physician
- New York, NY
National Provider Identifier
1407952419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 155086
- Practice address
- 1060 5TH Ave
Suite 1C
New York, NY 10128-0104 - Phone
- (212) 348-4994
- Fax
- (212) 348-4996
- NPI assigned
- Sep 16, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 155086 | NY | Primary |
| Anesthesiology Physician | 207L00000X | 040106 | CT |
Addresses
Primary practice location
1060 5TH Ave
Suite 1C
New York, NY 10128-0104
Mailing address
1060 5TH Ave
Suite 1C
New York, NY 10128-0104
Phone (212) 348-4994
Other names 1
- Ms. Virginia Mary Drago
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040106 | CT | MD | Anesthesiology Physician |
| 155086 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saul G Agus, MD, PC | Past | Accepting new patients | |
| Thomas L. Fabry, M.D.,P.C. | Past | Accepting new patients | |
| Greenwich Anesthesiology Associates, PC | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Gastroenterology Physician
- New York, NY
- NPI 1023310232
-
- Specialist
- New York, NY
- NPI 1881905958
-
- Anesthesiology Physician
- Greenwich, CT
- NPI 1972557486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310688000000",
"number": "1407952419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1060 5TH AVE",
"address_2": "SUITE 1C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101280104",
"telephone_number": "212-348-4994",
"fax_number": "212-348-4996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 5TH AVE",
"address_2": "SUITE 1C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101280104",
"telephone_number": "212-348-4994",
"fax_number": "212-348-4996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADE",
"first_name": "VIRGINIA",
"middle_name": "D.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-16",
"last_updated": "2011-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "155086",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CT",
"license": "040106",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VIRGINIA",
"last_name": "DRAGO",
"middle_name": "MARY",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}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 Jul 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.