Vive Medical PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

VIVE MEDICAL PLLC

Practice address

1250 Ocean Pkwy
Brooklyn, NY 11230-5155

Phone

(718) 500-3505

NPI assigned

Dec 17, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Maya Korch

Title

Manager

Phone

(305) 929-3376

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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.

• Susan Bard, M.D.

  • Dermatology Physician
  • Brooklyn, NY
  • NPI 1134387657
  Medicare reassignment NPD

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1164994034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 IRVING PL APT U20E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100039729",
            "telephone_number": "305-929-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305155",
            "telephone_number": "718-500-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVE MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "KORCH",
        "authorized_official_first_name": "MAYA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-929-3376",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vidhi Vithalani
• Joseph Silviero Vitiello, MD
• Viva Wellness Licensed Mental Health Counseling, PLLC
• Viva Wellness LLC
• Martin Vivas Jr.
• Amritha Vivek, MD
• Arlene Vixama
• Lynda Vixamar
• Rica Vizarra-Villongco, M.D.
• Tova Vizel Hopkins, MSW

• Dermatology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.