Active NPI
Miguel Vargas MD PC
Doing business as Medical Sports Rehab of Maspeth
- Physical Medicine & Rehabilitation Physician
- Smithtown, NY
National Provider Identifier
1841383692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02802766 | Medicaid | NY |
Other names 1
- Medical Sports Rehab of Maspeth
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Garden City, NY
- NPI 1699864827
-
- Physician Assistant
- Garden City, NY
- NPI 1124324124
-
- Physician Assistant
- Smithtown, NY
- NPI 1053609628
-
- Chiropractor
- Smithtown, NY
- NPI 1114014545
-
- Chiropractor
- Smithtown, NY
- NPI 1093809907
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
- Michele Ahmadi D.P.M. L.L.C.
- Michelle Eckhoff, Marriage and Family Therapist, PLLC
- Mid-Suffolk Neurosurgical Associates, PC
- Middle Country Endocrinology, PC
- Miguel Calimano MD PC
- Debbie Ann Mihalko, LCSW
- Teresa Mikolanda, MS SPECIAL ED
- Alexander Robert John Miles
- Denise Ann Milillo, RN
- Sharon Yirilli Millan, M.S, RD, CDN
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.