JEFFREY L VACIRCA (NPI# 1366446726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366446726 |
| Entity Type | Individual |
| Full Name | JEFFREY L VACIRCA |
| Credential | MD |
| Practice Address |
1500 Route 112 Bldg 4 Port Jefferson Station NY 11776-8055 |
| Practice Telephone | 6315748354 |
| Practice Fax Number | 6315096559 |
| Mailing Telephone | 6315748354 |
| Mailing Fax Number | 6315096559 |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2019-11-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
222234 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02521837 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 201 State Rt 17 Fl 11, Rutherford, NJ 070702557 | 6317513000 | 6315096559 |
| Street Address |
1500 ROUTE 112 BLDG 4 |
| City | PORT JEFFERSON STATION |
| State | NY |
| Zip Code | 11776-8055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740807791 | Sarah Lynn Frisina | Audiologist | 1500 Route 112, Building 4 Second Fl, Port Jefferson Station, NY 11776 | 2020-06-25 |
| 1982262903 | North Shore-lij Cardiovascular Medicine PC | Orthopaedic Surgery | 1500 Route 112, Port Jefferson Station, NY 11776-8054 | 2019-06-04 |
| 1881134815 | Port Jefferson Asc, LLC | Clinic/Center | 1500 Route 112, Bldg 3, Port Jefferson Station, NY 11776 | 2017-02-23 |
| 1538533344 | Jacqueline Schomber | Psychologist | 1500 Route 112, Bldg 6, Port Jefferson Station, NY 11776-8054 | 2015-11-17 |
| 1235551052 | Long Island Digestive Endoscopy Center, LLC | Clinic/Center | 1500 Route 112, Bldg 5, Port Jefferson Station, NY 11776-8054 | 2014-01-14 |
| 1720326077 | Away From Home Senior Day Care | Custodial Care Facility | 1500 Route 112, Building 6, Suite A, Port Jefferson Station, NY 11776-8054 | 2013-01-22 |
| 1053636431 | Jennifer Marie Diaz | Allergy & Immunology | 1500 Route 112, Bldg. 4 - 2nd Floor, Port Jefferson Station, NY 11776-8054 | 2010-03-29 |
| 1689800633 | Thomas P. Erhart Do PC | Obstetrics & Gynecology | 1500 Route 112, Bldg 11, Suite B, Port Jefferson Station, NY 11776-3060 | 2009-06-04 |
| 1851527972 | Washington Park Women's Health PC | Obstetrics & Gynecology | 1500 Route 112, Bldg 11 Suite A, Port Jefferson Station, NY 11776-3060 | 2009-06-03 |
| 1871763508 | Craig Michael Litman | Otolaryngology | 1500 Route 112, Bldg. 4 - 2nd Floor, Port Jefferson Station, NY 11776-8054 | 2008-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205304219 | Melissa E Germano | Acupuncturist | 5225 Nesconset Highway Rte 347, Davis Professional Park Building 1 Suite 1, Port Jefferson Station, NY 11776 | 2018-11-07 |
| 1366962185 | Michael Louis Scicchitano Sr. | Physical Therapist | 3 Colgate Street, Port Jefferson Station, NY 11776 | 2017-06-22 |
| 1063969517 | Dana Adamkiewicz | Acupuncturist | 432 North Bicycle Path, Port Jefferson Station, NY 11776 | 2016-09-01 |
| 1538531819 | Jacqueline Rambo | Specialist | 5225 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2015-10-26 |
| 1821474297 | Michael Leuci | Social Worker | 3 Premier Court, Port Jefferson Station, NY 11776 | 2015-08-07 |
| 1578978078 | Carol A. Palmer I | Acupuncturist | 34 Champlain St, Port Jefferson Station, NY 11776 | 2014-06-24 |
| 1659783371 | Janette M Sperandeo | Nurse Practitioner | 5 Roosevelt Avenue, Port Jefferson Station, NY 11776 | 2014-05-29 |
| 1578973079 | James Buchrieser | Specialist | 525 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2014-05-06 |
| 1871923227 | Duran Thomas Murphy | Licensed Practical Nurse | 8 Carolyn Road, Port Jefferson Station, NY 11776 | 2013-11-22 |
| 1699104562 | Julio Genao | Massage Therapist | 213 Jayne Blvd, Portjefferson Station, NY 11776 | 2013-11-01 |
| Find all providers in zip 11776 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750332383 | Shabeer A Dar | Internal Medicine | 1500 Route 112 Bldg 4, Port Jefferson Station, NY 11776-8055 | 2006-05-16 |
| 1760486443 | Regina L Jablonski | Internal Medicine | 49 Nesconset Hwy, Port Jefferson Station, NY 11776-2628 | 2005-06-09 |
| 1780027904 | Robert Charles Hendler | Internal Medicine | 1500 Route 112 Bldg 4, Port Jefferson Station, NY 11776-8054 | 2013-04-08 |
| 1285977546 | Alfredo Enrique Torres Gonzalez | Internal Medicine | 1500 Route 112 Ste 101, Port Jefferson Station, NY 11776-8054 | 2013-04-04 |
| 1902141914 | Amishi Desai | Internal Medicine | 1500 Route 112 Bldg 4, Port Jefferson Station, NY 11776-8055 | 2012-12-02 |
| 1649531815 | Joshua Harris | Internal Medicine | 49 Nesconset Hwy, Port Jefferson Station, NY 11776-2628 | 2012-06-05 |
| 1477843100 | George Cyriac | Internal Medicine | 49 Nesconset Hwy, Port Jefferson Station, NY 11776-2628 | 2011-04-14 |
| 1891094447 | Adriana Guigova | Internal Medicine | 49 Nesconset Hwy, Port Jefferson Station, NY 11776-2628 | 2011-03-22 |
| 1972765733 | Jerry Jacob George | Internal Medicine | 49 Nesconset Hwy, Port Jefferson Station, NY 11776-2628 | 2008-07-01 |
| 1750585287 | David Tin Chu | Internal Medicine | 49 Nesconset Hwy, Port Jefferson Station, NY 11776-2628 | 2007-06-11 |
| Find all providers in PORT JEFFERSON STATION | ||||
| City | PORT JEFFERSON STATION |
| Zip Code | 11776 |
Please comment or provide details below to improve the information on JEFFREY L VACIRCA.
| 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.