Active NPI
Jorge Vargas
- Athletic Trainer
- Mineola, NY
National Provider Identifier
1689546525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 001759
- Practice address
- 340 Jackson Ave
Mineola, NY 11501-2448 - Phone
- (516) 742-5555
- NPI assigned
- Sep 20, 2025
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 001759 | NY | Primary |
Addresses
Primary practice location
340 Jackson Ave
Mineola, NY 11501-2448
Mailing address
870 Schroeter Ave
Franklin Square, NY 11010-3908
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 |
|---|---|---|---|
| 001759 | NY | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758326400000",
"number": "1689546525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "870 SCHROETER AVE",
"city": "FRANKLIN SQUARE",
"state": "NY",
"postal_code": "110103908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 JACKSON AVE",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115012448",
"telephone_number": "516-742-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGAS",
"first_name": "JORGE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-09-20",
"last_updated": "2025-09-20",
"certification_date": "2025-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "001759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mineola, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.