Active NPI
Vails Medical PLLC.
- Internal Medicine Physician
- New Windsor, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 207719
- Legal business name
- VAILS MEDICAL PLLC.
- Practice address
- 537 Blooming Grove Tpke
New Windsor, NY 12553-7843 - Phone
- (845) 561-8500
- Fax
- (845) 561-8855
- NPI assigned
- Jun 17, 2009
- Last updated
- Jun 17, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Chinyere E. Ofonagoro, M.D
- Title
- President
- Phone
- (845) 561-8500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 207719 | NY | Primary |
Addresses
Primary practice location
537 Blooming Grove Tpke
New Windsor, NY 12553-7843
Mailing address
537 Blooming Grove Tpke
New Windsor, NY 12553-7843
Phone (845) 561-8500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01922123 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
22 W 1st St
Mount Vernon, NY 10550
Phone (914) 667-4399
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- New Windsor, NY
- NPI 1477518231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1245196800000",
"number": "1720215718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "537 BLOOMING GROVE TPKE",
"city": "NEW WINDSOR",
"state": "NY",
"postal_code": "125537843",
"telephone_number": "845-561-8500",
"fax_number": "845-561-8855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "537 BLOOMING GROVE TPKE",
"city": "NEW WINDSOR",
"state": "NY",
"postal_code": "125537843",
"telephone_number": "845-561-8500",
"fax_number": "845-561-8855"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VAILS MEDICAL PLLC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-17",
"last_updated": "2009-06-17",
"status": "A",
"authorized_official_last_name": "OFONAGORO",
"authorized_official_first_name": "CHINYERE",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "845-561-8500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "207719",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01922123",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Windsor, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.