Sheila Marie Vergith, RN RPA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

7798382 Issued in NY

Practice address

17 Coraway Road
Setauket, NY 11733

Phone

(631) 751-1417

NPI assigned

Dec 28, 2012

Sex

Female

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)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1356652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356652800000",
    "number": "1669718219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CORAWAY RD",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117332214",
            "telephone_number": "631-751-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 CORAWAY ROAD",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "11733",
            "telephone_number": "631-751-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERGITH",
        "first_name": "SHEILA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RN RPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-28",
        "last_updated": "2012-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "7798382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE",
            "identifier": "7798382",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tri Fit PT & Wellness
• George Walter Tyson, M.D.
• Patricia M Valea
• Melanie Ann Van Sise, M.D.
• Louis Thomas Verardo, MD
• Andre Vilardi, RN
• Virtual Medicine Wellness
• Virtual Medicine Wellness
• Lisa Volpe-Smith, M.A.
• Frederick William Wagner III, MED

• Medical Physician Assistant in Setauket, NY
• Providers in Setauket, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; 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.