VAULT MEDICAL GROUP PA (NPI# 1295348019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295348019 |
| Entity Type | Organization |
| Organization Name | VAULT MEDICAL GROUP PA |
| Other Organization Name | VAULT MEDICAL SERVICES PA (Doing Business As Name) |
| Practice Address | 133 E 58th St Ste 512 New York NY 10022-1145 |
| Practice Telephone | 2128805494 |
| Mailing Address | 85 5th Ave Fl 8 New York NY 10003-3019 |
| Mailing Telephone | 2128805494 |
| Certification Date | 2020-09-18 |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-09-18 |
| Authorized Official Telephone | 4154122934 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Vault Medical Services PA | Doing Business As Name |
| Street Address | 133 E 58TH ST STE 512 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10022-1145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013028307 | Myles D. Spar | Internal Medicine | 133 E 58th St Ste 512, New York, NY 10022-1145 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537931 | Gloria Helena Gomez Arenas | Student in an Organized Health Care Education/Training Program | 220 East 57th Street, Apt 5c, New York, NY 10022 | 2020-10-30 |
| 1629697081 | Mary Kathleen Mcallister | Social Worker · Clinical | 157 East 57th Street, Apt 7a, New York, NY 10022 | 2020-04-15 |
| 1245878263 | Vishal Patel | Optometrist | Columbia University Laser Vision Center, 880 Third Avenue, New York, NY 10022 | 2019-12-20 |
| 1679116768 | Niteegna Patel | Physical Therapist | 115 East 57th Sreet, Suite 520, New York, NY 10022 | 2019-10-22 |
| 1386298081 | Daniel Tanh, LLC | Community/Behavioral Health | Alma, C/O Daniel Tanh, 515 Madison Avenue, 21st Floor, New York, NY 10022 | 2019-07-31 |
| 1124686548 | Necati Enver | Student in an Organized Health Care Education/Training Program | 880 Third Avenue 3rd Floor, Columbia University Center for Voice and Swallowing, New York, NY 10022 | 2019-05-31 |
| 1134688062 | Queenie K Yeung | Occupational Therapist | 1110 Second Avenue, Suite 302, New York, NY 10022 | 2019-03-19 |
| 1437616968 | Rebekah Wotman | Nurse Practitioner · Family | 121 E 60th Street, Suite 4c, New York, NY 10022 | 2019-02-20 |
| 1972086684 | Steven Kyongmin Kim | Dentist · Endodontics | 209 E 56th St Frnt 1, New York, NY 10022 | 2018-09-09 |
| 1235616186 | Deborah Badran | Doula | 415 East 52st. #2aa, New York, NY 10022 | 2018-07-24 |
| Find all providers in zip 10022 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396332953 | Corinthian Medical PC | 330 Wadsworth Ave Apt 1a, New York, NY 10040-4171 | 2020-12-29 | |
| 1699376491 | Unico Ipa LLC | 202 Canal St # 500, New York, NY 10013-4517 | 2020-11-06 | |
| 1295341535 | Reside Health Medical Group, Pllc | 520 Broadway Fl 4, New York, NY 10012-4436 | 2020-09-22 | |
| 1205447745 | Princeton Longevity Medical of New York Pllc | 1 World Trade Ctr Ste 71d, New York, NY 10007-0089 | 2020-08-10 | |
| 1558971929 | New Jersey Birdie Health PC | 330 E 38th St Apt 15c, New York, NY 10016-2769 | 2020-07-31 | |
| 1972112456 | Daniel William Fitzgerald | 402 E 67th St Fl 2, New York, NY 10065-6304 | 2020-07-30 | |
| 1346858222 | Sowell Health PC | 308 E 38th St Ste 200, New York, NY 10016-9825 | 2020-07-16 | |
| 1417574062 | Bob Yeon Shim | 330 W 145th St Apt 605, New York, NY 10039-3095 | 2020-06-30 | |
| 1487276473 | Alinea Medical Associates PC | 205 E 69th St Apt 1b, New York, NY 10021-5437 | 2020-05-12 | |
| 1336770973 | Alyson R Pidich Md PC | 800a 5th Ave Ste 205, New York, NY 10065-7215 | 2020-02-02 | |
| Find all providers in NEW YORK | ||||
| City | NEW YORK |
| Zip Code | 10022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326468976 | Vault Chiropractic · Vault | Chiropractor | 10810 Eastex Fwy, Suite 150, Houston, TX 77093-3602 | 2014-04-22 |
| 1487074019 | Vault Chiropractic · Vault | Chiropractor | 1535 Strickland Dr, Orange, TX 77630-2951 | 2014-04-22 |
| 1073102778 | Vault Medical Services of New Jersey PC | Internal Medicine | 211 Essex St Ste 406, Hackensack, NJ 07601-3231 | 2021-01-16 |
| 1396307070 | Kalisha Vault | Social Worker | 115 Temple Ave, Beaumont, CA 92223-3154 | 2019-07-03 |
| 1235688466 | Marsha Vault | Case Manager/Care Coordinator | 5800 W 10th St, Little Rock, AR 72204-1752 | 2016-09-29 |
| 1609486737 | Beauty Vault Lux LLC. | Prosthetic/Orthotic Supplier | 5100 Sw 41st St, Hollywood, FL 33023-6948 | 2020-08-04 |
| 1740785823 | Lataveya Vault | Case Manager/Care Coordinator | 10025 W Markham St Ste 150, Little Rock, AR 72205-1416 | 2018-03-29 |
| 1932358306 | Catherine Vault | Contractor | 141 E Camino Limon Verde, Sahuarita, AZ 85629-8743 | 2008-09-10 |
| 1578742821 | Marie G Edling | Optometrist | 127 Gold Vault Rd # 127, Fort Knox, KY 40121-2412 | 2007-11-02 |
| 1326642968 | Exceptional Eye Care, LLC | Optometrist | 127 Gold Vault Rd, Fort Knox, KY 40121-2412 | 2020-11-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.