Individual provider Active NPI

Joseph Thomas Vento, M.D.

  • Family Medicine Physician
  • Estero, FL
National Provider Identifier
1033195359
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME131542 Issued in FL
Practice address
23850 Via Italia Cir Apt 2001
Estero, FL 34134-7148
Phone
(917) 561-5499
NPI assigned
Dec 19, 2005
Last updated
Mar 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 162446 NY
Family Medicine Physician 207Q00000X ME131542 FL Primary

Addresses

Primary practice location

23850 Via Italia Cir Apt 2001
Estero, FL 34134-7148

Mailing address

7400 18TH Ave
Brooklyn, NY 11204-5612
Phone (718) 236-9446

Other identifiers 2

IdentifierTypeStateIssuer
00895198MedicaidNY
080141779OtherNYRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME131542FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Medical Services, PC Family Medicine Current Accepting new patients

Locations

7400 18th Ave
Brooklyn, NY 11204
Phone (718) 236-9446

1655 Richmond Ave
Staten Island, NY 10314
Phone (718) 236-9446

Interoperability endpoints

  • Direct secure messaging: joseph.vento.1@22489.direct.athenahealth.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1033195359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 18TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112045612",
            "telephone_number": "718-236-9446",
            "fax_number": "718-236-3854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23850 VIA ITALIA CIR APT 2001",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "341347148",
            "telephone_number": "917-561-5499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENTO",
        "first_name": "JOSEPH",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "162446",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME131542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00895198",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080141779",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Estero, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.