Vanessa Victoria, RP.A.-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

014077 Issued in NY

Practice address

3751 91St St
Jackson Heights, NY 11372-7927

Phone

(551) 655-7707

Fax

(718) 429-7952

NPI assigned

Jul 15, 2010

Last updated

Jul 17, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: primarycarelongisland.vanessavictoria@157630.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jaime F. Roman, M.D.

  • Internal Medicine Physician
  • Jackson Heights, NY
  • NPI 1144394784
  Medicare reassignment
• Primary Urgent Medical PC

  dba Primary Care of Long Island

  • Internal Medicine Physician
  • Lindenhurst, NY
  • NPI 1700908605
  NPD (past)

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279324800000",
    "number": "1881907160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3751 91ST ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727927",
            "telephone_number": "551-655-7707",
            "fax_number": "718-429-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3751 91ST ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727927",
            "telephone_number": "551-655-7707",
            "fax_number": "718-429-7952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICTORIA",
        "first_name": "VANESSA",
        "credential": "RP.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-15",
        "last_updated": "2010-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "014077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicolle Vera, LMSW
• Ana Verastegui, SOCIAL WORKER
• Verrisa Medical Services
• Vesper Shield Corp
• Victor Chen Podiatrist, PC
• Maria Vicuna
• Vida Care Pharmacy LLC
• Vida Sana Pharmacy Inc.
• Vijay K Chhabra Physician PC
• Pachuska Vil-Audain

• Physician Assistant in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2010; 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.

Verify at the official NPI Registry.