Active NPI
Augusto Enrique Vargas, R.T.
- Magnetic Resonance Imaging Radiologic Technologist
- Clifton, NJ
National Provider Identifier
1588994792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging Radiologic Technologist
- License
- 633899
- Practice address
- 72 Windsor Rd
Clifton, NJ 07012-2011 - Phone
- (973) 777-6826
- NPI assigned
- Jan 11, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Magnetic Resonance Imaging Radiologic Technologist | 2471M1202X | 633899 | NJ | Primary |
Addresses
Primary practice location
72 Windsor Rd
Clifton, NJ 07012-2011
Mailing address
72 Windsor Rd
Clifton, NJ 07012-2011
Phone (973) 777-6826
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 633899 | NJ | MD | Magnetic Resonance Imaging Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263168000000",
"number": "1588994792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72 WINDSOR RD",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070122011",
"telephone_number": "973-777-6826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72 WINDSOR RD",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070122011",
"telephone_number": "973-777-6826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGAS",
"first_name": "AUGUSTO",
"middle_name": "ENRIQUE",
"credential": "R.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-01-11",
"last_updated": "2010-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "2471M1202X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Magnetic Resonance Imaging",
"state": "NJ",
"license": "633899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.