Organization Active NPI

Elena Vezza MD PC

  • Cardiovascular Disease Physician
  • Bronx, NY
National Provider Identifier
1760654875
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
169234 Issued in NY
Legal business name
ELENA VEZZA MD PC
Practice address
3594 E Tremont Ave
Suite 100
Bronx, NY 10465-2032
Phone
(718) 239-7176
Fax
(718) 239-7178
NPI assigned
Mar 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Authorized official

Name
Dr. Elena L. Vezza, M.D.
Title
President
Phone
(718) 239-7176

Specialties & licenses 2

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

Addresses

Primary practice location

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

Mailing address

3594 E Tremont Ave
Suite 100
Bronx, NY 10465-2032
Phone (718) 239-7176

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1760654875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3594 E TREMONT AVE",
            "address_2": "SUITE 100",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652032",
            "telephone_number": "718-239-7176",
            "fax_number": "718-239-7178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3594 E TREMONT AVE",
            "address_2": "SUITE 100",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652032",
            "telephone_number": "718-239-7176",
            "fax_number": "718-239-7178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELENA VEZZA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-28",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "VEZZA",
        "authorized_official_first_name": "ELENA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-239-7176",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "169234",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "169234",
            "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 Sep 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.