Active NPI
Elena E Vega, DO
- Surgery Physician
- Charlotte, NC
National Provider Identifier
1417298027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 2020-00744
- Practice address
- 6060 Piedmont Row Dr S Ste 450
Charlotte, NC 28287-3884 - Phone
- (704) 317-5990
- NPI assigned
- Mar 6, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 25MB09520400 | NJ | |
| Surgery Physician | 208600000X | 271967 | NY | |
| Surgery Physician | 208600000X | 2020-00744 | NC | Primary |
Addresses
Primary practice location
6060 Piedmont Row Dr S Ste 450
Charlotte, NC 28287-3884
Mailing address
3316 Eastburn Rd
Charlotte, NC 28210-4704
Phone (559) 341-9943
Other practice location 1
617 Broad St
Newark, NJ 07102-4403
Phone (862) 246-7940
Other practice location 2
2187 Richmond Ave
Staten Island, NY 10314-3920
Phone (646) 682-7364
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020-00744 | NC | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712188800000",
"number": "1417298027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3316 EASTBURN RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282104704",
"telephone_number": "559-341-9943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6060 PIEDMONT ROW DR S STE 450",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282873884",
"telephone_number": "704-317-5990"
}
],
"practiceLocations": [
{
"address_1": "617 Broad St",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "NJ",
"postal_code": "071024403",
"country_code": "US",
"telephone_number": "862-246-7940",
"fax_number": "862-246-7941",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2187 Richmond Ave",
"address_purpose": "LOCATION",
"city": "Staten Island",
"state": "NY",
"postal_code": "103143920",
"country_code": "US",
"telephone_number": "646-682-7364",
"fax_number": "646-682-7399",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VEGA",
"first_name": "ELENA",
"middle_name": "E",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-06",
"last_updated": "2024-04-04",
"certification_date": "2024-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NJ",
"license": "25MB09520400",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "271967",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "2020-00744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.