Individual provider Active NPI

Jose Luis Vega, M.D., PH.D.

  • Neurology Physician
  • Manahawkin, NJ
National Provider Identifier
1558503458
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
25MA11594100 Issued in NJ
Practice address
53 Nautilus Dr Ste 201
Manahawkin, NJ 08050-2465
Phone
(609) 978-8870
NPI assigned
Mar 24, 2009
Last updated
Feb 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME 107295 FL
Neurology Physician 2084N0400X 245740 NY
Neurology Physician 2084N0400X 25MA11594100 NJ Primary

Addresses

Primary practice location

53 Nautilus Dr Ste 201
Manahawkin, NJ 08050-2465

Mailing address

331 Newman Springs Rd Ste 220
Red Bank, NJ 07701-5792
Phone (732) 807-0877

Other practice location 1

1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-1771

Other identifiers 2

IdentifierTypeStateIssuer
245740OtherNYSTATE OF NEW YORK
ME 107295OtherFLFLORIDA DEPARTMENT OF HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC, MO, NJ4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20101011000120 FL Practitioner - Neurology 1850583790
I20150724010582 NC Practitioner - NeurologyPractitioner - Internal Medicine 1850583790 Reassigns benefits to 5 organizations
I20220719000746 MO Practitioner - Neurology 1850583790 Reassigns benefits to 4 organizations
I20230218000302 NJ Practitioner - Neurology 1850583790 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1140 Route 72 W
Manahawkin, NJ 08050-2412
Phone (609) 597-6011

1944 Route 33
Neptune, NJ 07753
Phone (732) 776-3787

1945 Route 33
Neptune, NJ 07753

3600 Route 66
FL 3
Neptune, NJ 07753

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 107295FLMDNeurology Physician
25MA11594100NJMDNeurology Physician
245740NYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health-RWJ Scleroderma Program CurrentSince Nov 8, 2022 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Jul 22, 2024 Accepting new patients
Moses Cone Physician Services, Inc. Current Accepting new patients
Moses Cone Physician Services, Inc. CurrentSince Aug 9, 2017 Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince May 3, 2015 Accepting new patients
Novant Medical Group Inc Neurology CurrentSince Feb 15, 2020 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince May 6, 2024 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince May 6, 2024 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Jul 22, 2024 Accepting new patients
Moses Cone Physician Services Inc CurrentSince Aug 9, 2017 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jul 1, 2018 Accepting new patients
Novant Health Medical Group, LLC Neurology CurrentSince Jul 1, 2018 Accepting new patients
Vidant Medical Group LLC CurrentSince Jul 10, 2020 Accepting new patients
Carepoint Inpatient Blue Sky Neurology Missouri, LLC Neurology CurrentSince Apr 13, 2022 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Rutgers Health-RWJ Scleroderma Program Current Accepting new patients
Mercy Clinic Adult Hospitalists - St. Louis, LLC CurrentSince Feb 22, 2023 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince May 3, 2015 Accepting new patients
Rutgers Health-RWJ Scleroderma Program CurrentSince Nov 8, 2022 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Jul 22, 2024 Accepting new patients
Forsyth Memorial Hospital, Inc Past Accepting new patients

Locations

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

615 S New Ballas Rd
#H
Saint Louis, MO 63141
Phone (314) 251-6075

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

1918 Randolph Rd
Ste 400
Charlotte, NC 28207
Phone (704) 384-9437

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181

1910 Jake Alexander Blvd W
Ste 102
Salisbury, NC 28147
Phone (704) 637-1179

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

175 Kimel Park Dr
Winston Salem, NC 27103
Phone (336) 718-1006

190 Kimel Park Dr
Ste 120
Winston Salem, NC 27103
Phone (336) 277-2200

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

53 Nautilus Dr
Ste 201
Manahawkin, NJ 08050
Phone (609) 978-8870

1944 State Route 33
Neptune, NJ 07753
Phone (732) 776-3787

125 Paterson St
New Brunswick, NJ 08901
Phone (732) 235-6511

125 Paterson St
Ste 5100
New Brunswick, NJ 08901
Phone (732) 235-7060

125 Paterson St
Ste 6100
New Brunswick, NJ 08901
Phone (732) 235-6561

331 Newman Springs Rd
Ste 220
Red Bank, NJ 07701
Phone (732) 807-0514

99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD
  • Direct secure messaging: jvega242453@direct.novanthealth.org

Organizations & group practices 23

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 23

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1558503458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 NEWMAN SPRINGS RD STE 220",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015792",
            "telephone_number": "732-807-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 NAUTILUS DR STE 201",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502465",
            "telephone_number": "609-978-8870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 Hickory St",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329013224",
            "country_code": "US",
            "telephone_number": "321-434-1771",
            "fax_number": "321-434-1775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VEGA",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-24",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME 107295",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "245740",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA11594100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NEW YORK",
            "identifier": "245740",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "ME 107295",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manahawkin, NJ

Sources for this page

Verify at the official NPI Registry.