Active NPI
Vital Care NP in Family Health PLLC
- Family Nurse Practitioner
- Flushing, NY
National Provider Identifier
1194617787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- VITAL CARE NP IN FAMILY HEALTH PLLC
- Practice address
- 14736 76TH Ave
Flushing, NY 11367-3118 - Phone
- (646) 525-5965
- NPI assigned
- Jul 17, 2025
- 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
- Mrs. Rivka Fenton
- Title
- Credentialing Specialist
- Phone
- (224) 491-2517
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | |||
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
14736 76TH Ave
Flushing, NY 11367-3118
Mailing address
14736 76TH Ave
Flushing, NY 11367-3118
Phone (646) 525-5965
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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": "1752710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780963200000",
"number": "1194617787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14736 76TH AVE",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113673118",
"telephone_number": "646-525-5965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14736 76TH AVE",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113673118",
"telephone_number": "646-525-5965"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITAL CARE NP IN FAMILY HEALTH PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-17",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A",
"authorized_official_last_name": "FENTON",
"authorized_official_first_name": "RIVKA",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "224-491-2517",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.