Address: 133 E 58th St Ste 512, New York, NY 10022-1145

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).

Provider Overview

Nation Provider ID (NPI) 1295348019
Entity Type Organization
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 Provider/Organization Names

Other Name Type Code
Vault Medical Services PA Doing Business As Name

Office Location

Street Address 133 E 58TH ST STE 512
State NY
Zip Code 10022-1145

Providers in the same location

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

Providers in the same zip code prefix

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 Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

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. [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. American Osteopathic Board of Internal Medicine, 2007.
- 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.

Providers in the same taxonomy and city

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


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Zip Code 10022

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Dataset Information

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.