Dr Vezza Medical Services PC
Organization Active NPI Internal Medicine Physician · Bronx, NY
NPI 1720560741 · NPPES record last updated Jun 19, 2025
Key facts
- NPI
- 1720560741
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 169234 (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
- Organization subpart
- No
Authorized official
- Name
- Elana Lorraine Vezza, MD
- Title
- Owner
- Phone
- (212) 734-6621
Practitioners 23
-
Stacy Ann Macfarlane, APRN
-
Tacara Nichole Anderson, APRN, FNP-C
-
Kristina Jean Brown, FNP-BC
-
Joseph D Fagbohun, DNP,APRN,FNP-BC,NP-C
-
Elsa Ashley Frederic, APRN
-
Jessica Tilley Hicks, FNP
-
Stacey Lynn Hyles, A.R.N.P
-
Chidi Obinani, ACNP
-
Prisca Okwara, NP
-
Glen Rebman, DO
-
Karina Santos, NP
-
Elena Lorranine Vezza, M.D.
-
Mesfin T Frew, P.A
-
Richard Gordon Nellis, PA-C
-
Brandon Soule, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181130001743 | NY | Part B Supplier - Clinic/Group Practice | 8921342072 |
Receives reassigned benefits from 23 practitioners Practice locations: Bronxville, NY |
National Provider Directory
Locations
300 Spring St
Westbrook, ME 04092
Phone (207) 856-1230
31 Spencer St
Ste 530
Brooklyn, NY 11205
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | 169234 | NY | Yes |
| Cardiovascular Disease Physician |
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
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- Dr Wendy Biagiotti Physician P.C.
- Dr. Ariel B. Anderson, LCSW, PLLC
- Dr. Daniel Edelman Psychology, P.C.
- Dr. Donald Spector
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All providers in Bronx, NY · Internal Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.