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

Martin Vanegas, PA

Individual provider Physician Assistant · NPI 1053112680

Martin Vanegas, PA is a Physician Assistant in Jamaica, New York. Qualified in 2024, 2 years ago. Practices with New York Queens Medicine and Surgery, PC, a 401-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2025
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

94-20 Guy Brewer Blvd
Jamaica, NY 11451-0001
Phone: (718) 262-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 03350601 (NY)

Record details

NPI number1053112680
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedMarch 20, 2025
Last updated in NPPESJune 2, 2025
Certification dateJune 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice New York Queens Medicine And Surgery, P.C. — 401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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