Organization Active NPI

Chirag V Vasa, MD P.C.

  • Clinic/Center
  • Astoria, NY
National Provider Identifier
1699755280
Registry record updated Jul 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
218197 Issued in NY
Legal business name
CHIRAG V VASA, MD P.C.
Practice address
2575 34TH St
Astoria, NY 11103-4901
Phone
(718) 721-3400
Fax
(718) 721-3434
NPI assigned
Jan 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2018

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

Authorized official

Name
Chirag V Vasa, MDNPI 1255311841
Title
Sole Proprieter
Phone
(718) 721-3400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 218197 NY Primary

Addresses

Primary practice location

2575 34TH St
Astoria, NY 11103-4901

Mailing address

701 Evans Paramus
Paramus, NY 07652
Phone (718) 441-3970

Other practice location 1

8533 Forest Pkwy
Woodhaven, NY 11421-1130
Phone (718) 441-3970

Other identifiers 1

IdentifierTypeStateIssuer
02256059MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041217000831 NY Part B Supplier - Clinic/Group Practice 6002873387 Receives reassigned benefits from 1 practitioner
Practice locations: Astoria, NY; Woodhaven, NY

National Provider Directory

National Provider Directory

Locations

2575 34th St
Astoria, NY 11103
Phone (718) 721-3400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531699200000",
    "number": "1699755280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 EVANS PARAMUS",
            "city": "PARAMUS",
            "state": "NY",
            "postal_code": "07652",
            "telephone_number": "718-441-3970",
            "fax_number": "718-441-6291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 34TH ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034901",
            "telephone_number": "718-721-3400",
            "fax_number": "718-721-3434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8533 Forest Pkwy",
            "address_purpose": "LOCATION",
            "city": "Woodhaven",
            "state": "NY",
            "postal_code": "114211130",
            "country_code": "US",
            "telephone_number": "718-441-3970",
            "fax_number": "718-441-6291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHIRAG V VASA, MD P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-19",
        "last_updated": "2018-07-16",
        "status": "A",
        "authorized_official_last_name": "VASA",
        "authorized_official_first_name": "CHIRAG",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "SOLE PROPRIETER",
        "authorized_official_telephone_number": "718-721-3400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "218197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02256059",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.