Joseph R Vitolo MD PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

JOSEPH R VITOLO MD PC

Practice address

48 Route 25a
Suite 308
Smithtown, NY 11787

Phone

(631) 265-5544

Fax

(631) 862-3617

NPI assigned

Feb 1, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Robert Vitolo, M.D.

Title

President

Phone

(631) 265-5544

Specialties & licenses 1

Addresses

Other names 1

• North Suffolk Surgical Associates MD. PC Former legal business name

Locations

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328486400000",
    "number": "1083986418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 ROUTE 25A",
            "address_2": "SUITE 308",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "11787",
            "telephone_number": "631-265-5544",
            "fax_number": "631-862-3617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 ROUTE 25A",
            "address_2": "SUITE 308",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "11787",
            "telephone_number": "631-265-5544",
            "fax_number": "631-862-3617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH R VITOLO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-01",
        "last_updated": "2012-02-06",
        "status": "A",
        "authorized_official_last_name": "VITOLO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-265-5544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Suffolk Surgical Associates MD. PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Rita Johnstone-Lyons, O.T.
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• Jeanine Essence Jones, LPN
• Nicholas Matthew Jones, D.O.
• Scott Allen Jones, D.O.
• Melissa Joseph
• Nina V Joshi
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• Susan Joji Joshua
• Jubilee Vacation Inc

• Surgery Physician in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; 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.