Active NPI
Nicole Lynn Vega, PA-C
- Physician Assistant
- Pennington, NJ
National Provider Identifier
1831647544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1 Capital Way
Pennington, NJ 08534-2520 - Phone
- (800) 637-2374
- NPI assigned
- Sep 12, 2016
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
1 Capital Way
Pennington, NJ 08534-2520
Mailing address
116 Fieldboro Drive
Lawrence, NJ 08648
Phone (609) 802-4258
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Current | Accepting new patients |
Locations
7901 Broadway
Flushing, NY 11373
Phone (718) 334-2156
8268 164th St
Jamaica, NY 11432
Phone (718) 883-2929
50 Water St
Fl 3
New York, NY 10004
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Surgery Physician
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- NPI 1083072342
-
- Clinic/Center
- New York, NY
- NPI 1548208127
-
- General Acute Care Hospital
- Elmhurst, NY
- NPI 1063426377
-
- Clinic/Center
- New York, NY
- NPI 1538943469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718323200000",
"number": "1831647544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 FIELDBORO DRIVE",
"city": "LAWRENCE",
"state": "NJ",
"postal_code": "08648",
"telephone_number": "609-802-4258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CAPITAL WAY",
"city": "PENNINGTON",
"state": "NJ",
"postal_code": "085342520",
"telephone_number": "800-637-2374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEGA",
"first_name": "NICOLE",
"middle_name": "LYNN",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-12",
"last_updated": "2024-06-14",
"certification_date": "2024-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pennington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.