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

Mr. Jeffery Jason Virgo, OTC, OPA-C, LSA

Individual provider Surgical Technologist · NPI 1073589602

Mr. Jeffery Jason Virgo, OTC, OPA-C, LSA is a Surgical Technologist in Bronx, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
Specialties on file
2

Practice location Address checks out

234 E 149th St
Bronx, NY 10451-5504
Phone: (718) 579-5919
Fax: (718) 579-4620
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Assistant (primary) Taxonomy 246ZX2200X · Licence O000066- (NY)
Surgical Technologist Taxonomy 246ZS0410X

Record details

NPI number1073589602
Entity typeIndividual (Type 1)
GenderMale
Credentials OTC , OPA-C , LSA
Sole proprietorNo
NPI enumeratedFebruary 24, 2006
Last updated in NPPESFebruary 2, 2023
Certification dateFebruary 2, 2023

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