Individual provider Active NPI

Leticia Vargas-Selman, MD

  • Pediatrics Physician
  • Jackson Heights, NY
National Provider Identifier
1912184276
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
159573 Issued in NY
Practice address
9320A Roosevelt Ave Ste 2
Jackson Heights, NY 11372-7904
Phone
(718) 334-6793
Fax
(718) 334-6717
NPI assigned
Jan 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 159573 NY Primary

Addresses

Primary practice location

9320A Roosevelt Ave Ste 2
Jackson Heights, NY 11372-7904

Mailing address

9320A Roosevelt Ave Ste 2
Jackson Heights, NY 11372-7904
Phone (718) 334-6793

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
159573NYMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201564800000",
    "number": "1912184276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9320A ROOSEVELT AVE STE 2",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727904",
            "telephone_number": "718-334-6793",
            "fax_number": "718-334-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9320A ROOSEVELT AVE STE 2",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727904",
            "telephone_number": "718-334-6793",
            "fax_number": "718-334-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS-SELMAN",
        "first_name": "LETICIA",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "159573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.