Active NPI
Ciara Vitallo, FNP
- Family Nurse Practitioner
- Schenectady, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F352293
- Practice address
- 805 Al Constantino Dr
Schenectady, NY 12306-5874 - Phone
- (518) 257-2163
- NPI assigned
- Aug 8, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F352293 | NY | Primary |
Addresses
Primary practice location
805 Al Constantino Dr
Schenectady, NY 12306-5874
Mailing address
805 Al Constantino Dr
Schenectady, NY 12306-5874
Phone (518) 257-2163
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
165 N Village Ave
Rockville Centre, NY 11570-3701
Phone (212) 803-3339
27 New Dorp LN
Staten Island, NY 10306-2349
Phone (212) 803-3339
7600 Jericho Tpke
Woodbury, NY 11797-1728
Phone (212) 803-3339
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F352293 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mission Medical Care PC | Family | Current | Accepting new patients |
| Fara Stricker Family Health Nurse Practitioner, P.C. | Past | Accepting new patients |
Locations
233 Union Ave
Ste 105
Holbrook, NY 11741
Phone (631) 285-7311
917 W Beech St
Long Beach, NY 11561
Phone (516) 689-7580
333 E Shore Rd
Ste 201
Manhasset, NY 11030
Phone (516) 829-3044
1991 Marcus Ave
Ste 110
New Hyde Park, NY 11042
Phone (516) 365-8086
265 Sunrise Hwy
Ste 1274
Rockville Ctr, NY 11570
165 N Village Ave
Ste 133
Rockville Ctr, NY 11570
Phone (516) 764-0879
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Infusion Therapy Clinic/Center
- Rockville Centre, NY
- NPI 1669162970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691452800000",
"number": "1194408294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 AL CONSTANTINO DR",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123065874",
"telephone_number": "518-257-2163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 AL CONSTANTINO DR",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123065874",
"telephone_number": "518-257-2163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VITALLO",
"first_name": "CIARA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-08",
"last_updated": "2023-08-08",
"certification_date": "2023-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F352293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Schenectady, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.