Organization Active NPI

Medneph, PA

  • Specialist
  • West Palm Beach, FL
National Provider Identifier
1457371965
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MEDNEPH, PA
Practice address
1500 N Dixie Hwy Ste 206
West Palm Beach, FL 33401-2716
Phone
(561) 655-1889
Fax
(561) 655-2868
NPI assigned
Jul 20, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sergio R Vega, MDNPI 1336146679
Title
President
Phone
(561) 655-1889

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

1500 N Dixie Hwy Ste 206
West Palm Beach, FL 33401-2716

Mailing address

1500 North Dixie Hwy
Ste 206
West Palm Beach, FL 33401
Phone (561) 655-1889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031218000159 FL Part B Supplier - Clinic/Group Practice 2163329061 Receives reassigned benefits from 1 practitioner
Practice locations: West Palm Beach, FL

National Provider Directory

National Provider Directory

Locations

1500 N Dixie Hwy
Ste 206
West Palm Beach, FL 33401
Phone (561) 366-9773

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBGAAA

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1457371965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 NORTH DIXIE HWY",
            "address_2": "STE 206",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33401",
            "telephone_number": "561-655-1889",
            "fax_number": "561-655-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N DIXIE HWY STE 206",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012716",
            "telephone_number": "561-655-1889",
            "fax_number": "561-655-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDNEPH, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "VEGA",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-655-1889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.