Active NPI
Victoria Vamos, Nurse Practitioner in Family Health, P.C.
Doing business as Long Island Medical and Spa
- Family Health Clinical Nurse Specialist
- Holbrook, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Health Clinical Nurse Specialist
- License
- F333441
- Legal business name
- VICTORIA VAMOS, NURSE PRACTITIONER IN FAMILY HEALTH, P.C.
- Doing business as
- Long Island Medical and Spa
- Practice address
- 751 Coates Ave
Suite 31
Holbrook, NY 11741-6039 - Phone
- (631) 580-0000
- Fax
- (631) 580-0001
- NPI assigned
- Aug 4, 2015
- Last updated
- Aug 4, 2015
- 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
- Ms. Victoria Vamos, F.N.P.
- Title
- Medical Director
- Phone
- (631) 580-0000
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Health Clinical Nurse Specialist | 364SF0001X | F333441 | NY | Primary |
Addresses
Primary practice location
751 Coates Ave
Suite 31
Holbrook, NY 11741-6039
Mailing address
751 Coates Ave
Suite 31
Holbrook, NY 11741-6039
Phone (631) 580-0000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02633829 | Medicaid | NY |
Other names 1
- Long Island Medical and Spa
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2100422 | Victoria Vamos,Nurse Practitioner in Family Health | Certificate of waiver | Aug 13, 2027 |
National Provider Directory
National Provider DirectoryLocations
751 Coates Ave
Ste 31
Holbrook, NY 11741
Phone (631) 580-0000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Holbrook, NY
- NPI 1083669915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438646400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1438646400000",
"number": "1104202993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "751 COATES AVE",
"address_2": "SUITE 31",
"city": "HOLBROOK",
"state": "NY",
"postal_code": "117416039",
"telephone_number": "631-580-0000",
"fax_number": "631-580-0001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 COATES AVE",
"address_2": "SUITE 31",
"city": "HOLBROOK",
"state": "NY",
"postal_code": "117416039",
"telephone_number": "631-580-0000",
"fax_number": "631-580-0001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VICTORIA VAMOS, NURSE PRACTITIONER IN FAMILY HEALTH, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-04",
"last_updated": "2015-08-04",
"status": "A",
"authorized_official_last_name": "VAMOS",
"authorized_official_first_name": "VICTORIA",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "631-580-0000",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "F.N.P."
},
"taxonomies": [
{
"code": "364SF0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist, Family Health",
"state": "NY",
"license": "F333441",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02633829",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Long Island Medical and Spa",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Holbrook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.