Alberto Luna Vega Sr., M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

171809 Issued in NY

Practice address

1588 3Rd Ave 89TH St Ny Ny 10128
2146 Beverly Rd
Bklyn, NY 11226

Phone

(212) 369-9620

NPI assigned

Nov 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578639431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 2ND AVE APT 17B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101285392",
            "telephone_number": "212-369-9620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1588 3RD AVE 89TH ST NY NY 10128",
            "address_2": "2146 BEVERLY RD",
            "city": "BKLYN",
            "state": "NY",
            "postal_code": "11226",
            "telephone_number": "212-369-9620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNA VEGA",
        "first_name": "ALBERTO",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "171809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01729726",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juana E Luster DDS PC
• Alan I Kaplan, DC
• Mark Kelman, DDS
• Fred L Lane Jr., DDS
• Mitchell Jay Lipp, DDS
• Mahtab Mufti, M.D.,
• Steve E Nozad, MD
• Peter J Pasqua Jr., MD
• Philip Harris MD PC
• Tzivie Pollak

• Specialist in Bklyn, NY
• Providers in Bklyn, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.