Organization Active NPI

Victoria Vitale-Lewis

  • Plastic and Reconstructive Surgery Physician
  • Melbourne, FL
National Provider Identifier
1093834954
Registry record updated Mar 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
ME0050929 Issued in FL
Legal business name
VICTORIA VITALE-LEWIS
Practice address
504 4TH Ave
Melbourne, FL 32951-2545
Phone
(321) 698-8210
Fax
(321) 698-8210
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2014

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

Authorized official

Name
Victoria Vitale- Vitale-Lewis, M.D., P.A.NPI 1356706485
Title
Owner,President
Phone
(321) 698-8210

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2086S0122X ME0050929 FL Primary

Addresses

Primary practice location

504 4TH Ave
Melbourne, FL 32951-2545

Mailing address

504 4TH Ave
Melbourne, FL 32951-2545
Phone (321) 698-8210

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395878400000",
    "number": "1093834954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 4TH AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329512545",
            "telephone_number": "321-698-8210",
            "fax_number": "321-723-7397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 4TH AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329512545",
            "telephone_number": "321-698-8210",
            "fax_number": "321-698-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA VITALE-LEWIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2014-03-27",
        "status": "A",
        "authorized_official_last_name": "VITALE-LEWIS",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "VITALE-",
        "authorized_official_title_or_position": "OWNER,PRESIDENT",
        "authorized_official_telephone_number": "321-698-8210",
        "authorized_official_credential": "M.D., P.A."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME0050929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; 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.