Organization Active NPI

Frederic J. Vagnini, MD, Facs

  • Cardiovascular Disease Physician
  • New Hyde Park, NY
National Provider Identifier
1801843370
Registry record updated Apr 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
091891 Issued in NY
Legal business name
FREDERIC J. VAGNINI, MD, FACS
Practice address
1991 Marcus Ave
Suite M107
New Hyde Park, NY 11042-2057
Phone
(516) 222-2288
Fax
(516) 745-0976
NPI assigned
May 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2009

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

Authorized official

Name
Dr. Frederic J Vagnini, MD
Title
President
Phone
(516) 222-2288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 091891 NY Primary

Addresses

Primary practice location

1991 Marcus Ave
Suite M107
New Hyde Park, NY 11042-2057

Mailing address

1991 Marcus Ave
Suite M107
New Hyde Park, NY 11042-2057
Phone (516) 222-2288

Other identifiers 1

IdentifierTypeStateIssuer
091891OtherNYNYS MEDICAL LIC #

National Provider Directory

National Provider Directory

Locations

1991 Marcus Ave
Ste M107
New Hyde Park, NY 11042
Phone (516) 222-2288

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240444800000",
    "number": "1801843370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1991 MARCUS AVE",
            "address_2": "SUITE M107",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110422057",
            "telephone_number": "516-222-2288",
            "fax_number": "516-745-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 MARCUS AVE",
            "address_2": "SUITE M107",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110422057",
            "telephone_number": "516-222-2288",
            "fax_number": "516-745-0976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERIC J. VAGNINI, MD, FACS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2009-04-23",
        "status": "A",
        "authorized_official_last_name": "VAGNINI",
        "authorized_official_first_name": "FREDERIC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-222-2288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "091891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS MEDICAL LIC #",
            "identifier": "091891",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.

Verify at the official NPI Registry.