Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Vault Medical Group PA

Organization Internal Medicine Physician · NPI 1295348019

Vault Medical Group PA is an Internal Medicine Physician in New York, New York. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

133 E 58th St Ste 512
New York, NY 10022-1145
Phone: (212) 880-5494
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1295348019
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alexander Pastuszak — Chief Clinical Officer · (415) 412-2934
Other names Vault Medical Services Pa
NPI enumeratedAugust 31, 2020
Last updated in NPPESSeptember 18, 2020
Certification dateSeptember 18, 2020
Mailing address85 5th Ave Fl 8, New York, NY 10003-3019

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