NPIMap

Organization Active NPI

Dr Vezza Medical Services PC

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1720560741
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
169234 Issued in NY
Legal business name
DR VEZZA MEDICAL SERVICES PC
Practice address
3594 E Tremont Ave Ste 100
Bronx, NY 10465-2032
Phone
(212) 734-6621
Fax
(516) 430-5031
NPI assigned
Sep 6, 2018
Last updated
Jun 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Authorized official

Name
Elana Lorraine Vezza, MD
Title
Owner
Phone
(212) 734-6621

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 169234 NY Primary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 169234 NY

Addresses

Primary practice location

3594 E Tremont Ave Ste 100
Bronx, NY 10465-2032

Mailing address

885 3Rd Ave FL 28
New York, NY 10022-4834
Phone (212) 734-6621

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181130001743 NY Part B Supplier - Clinic/Group Practice 8921342072 Receives reassigned benefits from 23 practitioners
Practice locations: Bronxville, NY

National Provider Directory

National Provider Directory

Locations

31 Spencer St
Ste 530
Brooklyn, NY 11205

670 Myrtle Ave
Ste 198
Brooklyn, NY 11205

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750291200000",
    "number": "1720560741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 3RD AVE FL 28",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224834",
            "telephone_number": "212-734-6621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3594 E TREMONT AVE STE 100",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652032",
            "telephone_number": "212-734-6621",
            "fax_number": "516-430-5031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR VEZZA MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-06",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "VEZZA",
        "authorized_official_first_name": "ELANA",
        "authorized_official_middle_name": "LORRAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-734-6621",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "169234",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "169234",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; 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.