Active NPI
Myriam Fabiola Vanegas
- Family Medicine Physician
- Bronx, NY
National Provider Identifier
1730346628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DEA NO 664
- Practice address
- 1067 Ogden Ave
Bronx, NY 10452-4601 - Phone
- (718) 466-3220
- NPI assigned
- May 19, 2008
- Last updated
- May 19, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DEA NO 664 | NY | Primary |
Addresses
Primary practice location
1067 Ogden Ave
Bronx, NY 10452-4601
Mailing address
1067 Ogden Ave
Bronx, NY 10452-4601
Phone (718) 466-3220
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEA NO 664 | NY | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211155200000",
"number": "1730346628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1067 OGDEN AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104524601",
"telephone_number": "718-466-3220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1067 OGDEN AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104524601",
"telephone_number": "718-466-3220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANEGAS",
"first_name": "MYRIAM",
"middle_name": "FABIOLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-19",
"last_updated": "2008-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "DEA NO 664",
"primary": true
}
],
"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 May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.