Vital Medical Services PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

199910 Issued in NY

Legal business name

VITAL MEDICAL SERVICES PC

Practice address

1763 E 12TH St
Brooklyn, NY 11229-1013

Phone

(718) 376-7716

Fax

(718) 376-5563

NPI assigned

Jan 24, 2012

Organization subpart

No

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

Authorized official

Name

Sergey Gabinsky, MD

Title

President

Phone

(718) 376-7766

Specialties & licenses 1

Addresses

Tax ID family

Vital Medical Services PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Vital Medical Services PC

  • Pediatrics Physician
  • Brooklyn, NY
  • NPI 1760754980
  NPD tax ID

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1174894075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1763 E 12TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291013",
            "telephone_number": "718-376-7716",
            "fax_number": "718-376-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1763 E 12TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291013",
            "telephone_number": "718-376-7716",
            "fax_number": "718-376-5563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-24",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "GABINSKY",
        "authorized_official_first_name": "SERGEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-376-7766",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "199910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vital Care Ny OT PC
• Vital Care Physical Therapy PLLC
• Vital Chemist Inc.
• Vital Health Nurse Practitioner in Family Health PLLC
• Vital Medical PC
• Vital Medical Services PC
• Vital Network LLC
• Vital OT LLC
• Vital Path LLC
• Vital Rehab LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.