DR. JESUS ROBERTO VERGARA (NPI# 1699752642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699752642 |
| Entity Type | Individual |
| Full Name | DR. JESUS ROBERTO VERGARA |
| Credential | M.D. |
| Practice Address |
111 E Catherine St Suite 110 Milford PA 18337-1347 |
| Mailing Address |
532 Lafayette Rd Suite 300 Sparta NJ 07871-4411 |
| Practice Telephone | 5702964600 |
| Practice Fax Number | 5704091965 |
| Mailing Telephone | 9739400423 |
| Mailing Fax Number | 9739400399 |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2017-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 25MA04749800 | NJ | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | MD038493E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | PA RAILROAD MEDICARE | 010051532 | 01 |
| NJ | NJ RAILROAD MEDICARE | 010050488 | 01 |
| NJ | 6749305 | 05 |
| Street Address |
111 E CATHERINE ST SUITE 110 |
| City | MILFORD |
| State | PA |
| Zip Code | 18337-1347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902155880 | Amy Garrison | Nurse Practitioner | 111 E Catherine St, Suite 230, Milford, PA 18337-1347 | 2012-09-06 |
| 1174881577 | Milford Urgent Care Associates Pllc | Emergency Medicine | 111 E Catherine St, Suite 130, Milford, PA 18337-1389 | 2012-04-24 |
| 1710144639 | Joseph Cirello | Family Medicine | 111 E Catherine St, Suite 250, Milford, PA 18337-1347 | 2008-05-19 |
| 1386839488 | Dmg Internal Medicine LLC | Internal Medicine | 111 E Catherine St, Suite 230, Milford, PA 18337-1347 | 2007-09-11 |
| 1225166655 | Clare A. Elliott | Physician Assistant | 111 E Catherine St, Milford, PA 18337-1347 | 2007-02-28 |
| 1881721124 | Ahs Hospital Corp. | Home Health | 111 E Catherine St, Milford, PA 18337-1347 | 2007-02-27 |
| 1831139500 | Inge Sophia Regan | Family Medicine | 111 E Catherine St, Milford, PA 18337-1347 | 2006-06-08 |
| 1588635999 | David Michael Garrison | Specialist | 111 E Catherine St, Milford, PA 18337-1347 | 2006-02-01 |
| 1679552632 | Marilyn Adams | Nurse Practitioner | 111 E Catherine St, Suite 110, Milford, PA 18337-1347 | 2006-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215568431 | Northeastern Behavioral Health, PC | Clinic/Center | 140 Bennett Avenue, Suite 1b, Milford, PA 18337 | 2020-01-27 |
| 1023652070 | Ellen Marie Lucca | Registered Nurse | 111 East Catharine St. Suite 210, Milford, PA 18337 | 2019-11-03 |
| 1609421064 | Deborah Reynolds Lpn | Licensed Practical Nurse | 123 Sylvaer Drive, Milford, PA 18337 | 2019-08-02 |
| 1003334491 | Jessica Balcarcel | Specialist/Technologist | 154 Bayberry Drive, Milford, PA 18337 | 2017-09-06 |
| 1528502549 | Ashley Lyn Catanzaro | Occupational Therapist | 101 Pocono Drive, Milford, PA 18337 | 2016-12-09 |
| 1164857108 | Benjamin Muller | Physical Therapist | 518 Routes 6 and 209, Milford, PA 18337 | 2013-09-10 |
| 1457629024 | Andrew James Dickson | Pharmacist | 105 Wheatfield Dirve, Suite 2, Milford, PA 18337 | 2011-12-09 |
| 1801163225 | Alitons Pharmacy Home Healthcare Centers of Milford Inc | Durable Medical Equipment & Medical Supplies | 111-113 Route 6 Alitons Plaza, Milford, PA 18337 | 2011-11-30 |
| 1639465438 | John Mario Lettieri IIi | Pharmacist | 100 West Harford, Milford, PA 18337 | 2011-06-21 |
| 1265661961 | Harry George Boyle | Dentist | 211 East Harford Street, Milford, PA 18337 | 2009-07-02 |
| Find all providers in zip 18337 | ||||
| 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 |
|---|---|---|---|---|
| 1720550445 | Deborah Brunson Md LLC | Internal Medicine | 234 Broad St Ste 12044, Milford, CT 06460-3278 | 2018-12-19 |
| 1366996803 | Seby Jacob Md, LLC | Internal Medicine | 2047 Bridgeport Ave, Milford, CT 06460-4655 | 2016-08-13 |
| 1669736153 | Tiffany Lynn Bassily | Internal Medicine | 1435 N Milford Rd Ste 101, Milford, MI 48381-1015 | 2012-06-28 |
| 1871851964 | Sally Nau | Internal Medicine | 1171 State Route 28, Milford, OH 45150-2154 | 2012-04-26 |
| 1770899668 | Milford Urgent Care, P.c | Internal Medicine | 414 Union St Ste 101, Milford, MI 48381-1989 | 2010-08-30 |
| 1548585045 | Brandon Michael Genson | Internal Medicine | 1501 N. Milford Rd, Suite 200, Milford, MI 48381-1049 | 2010-03-29 |
| 1245552306 | Marlene Shute | Internal Medicine | 40 Commerce Park Ste 1, Milford, CT 06460 | 2010-02-17 |
| 1235313248 | Alex Bibikau | Internal Medicine | 265 Bic Dr Ste 102, Milford, CT 06461-3048 | 2007-12-27 |
| 1508049362 | Milford Internal Medicine Associates PC | Internal Medicine | 111 E Catherine St Ste 220, Milford, PA 18337-1348 | 2007-12-14 |
| 1093995615 | Muziana S Quadir | Internal Medicine | 174 Cherry St, Milford, CT 06460-3415 | 2007-11-12 |
| Find all providers in MILFORD | ||||
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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.