Individual provider Active NPI

Joelle Vital, MD

  • Internal Medicine Physician
  • Merrick, NY
National Provider Identifier
1013070176
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
234089 Issued in NY
Practice address
2209 Merrick Rd Ste 202
Merrick, NY 11566-4770
Phone
(516) 414-1101
Fax
(516) 414-1131
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 234089 NY Primary

Addresses

Primary practice location

2209 Merrick Rd Ste 202
Merrick, NY 11566-4770

Mailing address

2209 Merrick Rd Ste 202
Merrick, NY 11566-4770
Phone (516) 414-1101

Other identifiers 1

IdentifierTypeStateIssuer
03278948MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041215000407 NY Practitioner - Internal Medicine 7113984782 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
May accept Medicare assignment
Group practices
Ny Total Medical Care, P.C.Group PAC ID 9638077399, 9 clinicians

Practice addresses (Care Compare)

362 9TH St
Brooklyn, NY 11215-4008
Phone (718) 499-6099

953 Front St
Uniondale, NY 11553-1543
Phone (516) 414-1101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
234089NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ny Total Medical Care, P.C. Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients
Visiting Medical Providers P.C. Current Accepting new patients
Vitality Medical Partners PC Current Accepting new patients
Marvin S Becker, M.D. P.C. Internal Medicine Past Accepting new patients
Caricare Internal Medicine Past Accepting new patients

Locations

2209 Merrick Rd
Ste 202
Merrick, NY 11566
Phone (516) 414-1101

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: joelle.vital.1@8212.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GEJGAA
  • FHIR API: https://api.platform.athenahealth.com/18855/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jvital90819@direct.medisys.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1013070176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 MERRICK RD STE 202",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664770",
            "telephone_number": "516-414-1101",
            "fax_number": "516-414-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 MERRICK RD STE 202",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664770",
            "telephone_number": "516-414-1101",
            "fax_number": "516-414-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITAL",
        "first_name": "JOELLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "234089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03278948",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrick, NY

Sources for this page

Verify at the official NPI Registry.