Victor Vicente, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

191197 Issued in NY

Practice address

1155 Broadway
First Floor
Brooklyn, NY 11221-3025

Phone

(718) 249-0735

NPI assigned

Mar 29, 2007

Last updated

Feb 20, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• All City Family Healthcare Center, Inc.

  • Ambulatory Surgical Clinic/Center
  • Brooklyn, NY
  • NPI 1215939186
  NPD (past)
• Park Avenue Medical Associates, P.C.

  • Geriatric Medicine (Family Medicine) Physician
  • White Plains, NY
  • NPI 1730138645
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329696000000",
    "number": "1225158082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 BROADWAY",
            "address_2": "FIRST FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112213025",
            "telephone_number": "718-249-0735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 BROADWAY",
            "address_2": "FIRST FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112213025",
            "telephone_number": "718-249-0735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICENTE",
        "first_name": "VICTOR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2012-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "191197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01599297",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raymonde Viau Montalmant, LPN
• Vibrant Applied Behavior Therapy PLLC (Vibrant Applied Behavior Therapy)
• Vibrant Life LLC (Vibrant Chiropractic Care)
• Vibrant Physical Therapy Rehabilitation PC
• Vibrant Transportation Inc
• Vichai Lotongkhum,M.D.&Lek Lotongkhum,M.D.PC
• Vichris Medical Supply
• Christina Vicidomini
• Stacey Viciere
• Jenny M Vicioso

• General Practice Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.