Organization Active NPI

Miguel Vargas MD PC

Doing business as Medical Sports Rehab of Maspeth

  • Physical Medicine & Rehabilitation Physician
  • Smithtown, NY
National Provider Identifier
1841383692
Registry record updated Jan 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
MIGUEL VARGAS MD PC
Doing business as
Medical Sports Rehab of Maspeth
Practice address
1 Edgewood Ave
Suite 100
Smithtown, NY 11787-2742
Phone
(631) 979-8508
Fax
(631) 979-0998
NPI assigned
Oct 2, 2006
Last updated
Jan 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2012

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

Authorized official

Name
Dr. Miguel Antonio Vargas, M.D.
Title
Medical Director
Phone
(718) 984-3206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

1 Edgewood Ave
Suite 100
Smithtown, NY 11787-2742

Mailing address

1 Edgewood Ave
Suite 100
Smithtown, NY 11787-2742
Phone (631) 979-8508

Other identifiers 1

IdentifierTypeStateIssuer
02802766MedicaidNY

Other names 1

  • Medical Sports Rehab of Maspeth Doing business as

National Provider Directory

National Provider Directory

Locations

1801 Brentwood Rd
Brentwood, NY 11717
Phone (631) 273-9850

350 Old Country Rd
Ste 102
Garden City, NY 11530
Phone (516) 248-0103

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327017600000",
    "number": "1841383692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EDGEWOOD AVE",
            "address_2": "SUITE 100",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872742",
            "telephone_number": "631-979-8508",
            "fax_number": "631-979-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EDGEWOOD AVE",
            "address_2": "SUITE 100",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872742",
            "telephone_number": "631-979-8508",
            "fax_number": "631-979-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIGUEL VARGAS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2012-01-20",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-984-3206",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02802766",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Sports Rehab of Maspeth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; 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.