Individual provider Active NPI

George Daniel Vermenton, MD

  • Pediatrics Physician
  • Bronx, NY
National Provider Identifier
1538407705
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
280871 Issued in NY
Practice address
1055 E Tremont Ave
Bronx, NY 10460-2306
Phone
(929) 385-4299
Fax
(646) 395-3823
NPI assigned
Jan 23, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 280871 NY Primary

Addresses

Primary practice location

1055 E Tremont Ave
Bronx, NY 10460-2306

Mailing address

1109 Adee Ave
Bronx, NY 10469-5117

Other practice location 1

1154 E Tremont Ave
Bronx, NY 10460-2433
Phone (929) 385-4299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160428000789 NY Practitioner - Pediatric Medicine 1254630007 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Vermenton Molina Pediatrics PC Pediatrics CurrentSince Mar 7, 2021 Accepting new patients
Downtown Bronx Medical Associates PC CurrentSince Feb 14, 2016 Accepting new patients
Physician Affiliate Group of New York PC CurrentSince Mar 1, 2024 Accepting new patients
Balanced Occupational Therapy PC CurrentSince Dec 13, 2022 Accepting new patients

Locations

1339 E Gun Hill Rd
Bronx, NY 10469
Phone (718) 798-9800

234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874

1055 E Tremont Ave
Bronx, NY 10460
Phone (718) 842-8040

1154 E Tremont Ave
Bronx, NY 10460
Phone (212) 281-9472

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

4902 Queens Blvd
Ste 3
Woodside, NY 11377
Phone (718) 577-2235

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: george.vermenton.1@29844.direct.athenahealth.com
  • Direct secure messaging: gvermentonmolina839840@nychhc.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1538407705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 ADEE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104695117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104602306",
            "telephone_number": "929-385-4299",
            "fax_number": "646-395-3823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1154 E Tremont Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104602433",
            "country_code": "US",
            "telephone_number": "929-385-4299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERMENTON",
        "first_name": "GEORGE",
        "middle_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-23",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "280871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.