Active NPI
Vincent G. Fietti, Jr., M.D., P.C.
- Orthopaedic Surgery Physician
- New York, NY
National Provider Identifier
1013203439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 117102
- Legal business name
- VINCENT G. FIETTI, JR., M.D., P.C.
- Practice address
- 1090 Amsterdam Ave
Suite 6E
New York, NY 10025-1737 - Phone
- (973) 779-7361
- Fax
- (973) 779-7385
- NPI assigned
- Jun 23, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Vincent G Fietti Jr., M.D.
- Title
- Ceo
- Phone
- (973) 779-7361
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 117102 | NY | Primary |
Addresses
Primary practice location
1090 Amsterdam Ave
Suite 6E
New York, NY 10025-1737
Mailing address
1060 Clifton Ave
Clifton, NJ 07013-3638
Phone (973) 779-7361
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117102 | Other | NY | LICENSE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1308787200000",
"number": "1013203439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1060 CLIFTON AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070133638",
"telephone_number": "973-779-7361",
"fax_number": "973-779-7385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1090 AMSTERDAM AVE",
"address_2": "SUITE 6E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100251737",
"telephone_number": "973-779-7361",
"fax_number": "973-779-7385"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VINCENT G. FIETTI, JR., M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-23",
"last_updated": "2011-06-23",
"status": "A",
"authorized_official_last_name": "FIETTI",
"authorized_official_first_name": "VINCENT",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "973-779-7361",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "NY",
"license": "117102",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "117102",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.