Sky Lahav-Vitenzon, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

021129-1 Issued in NY

Practice address

3411 Wayne Ave
Bronx, NY 10467-2509

Phone

(917) 621-6041

NPI assigned

Aug 9, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: slahavvitenzon450628@direct.medicine.duke.edu

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.

• Duke Health Integrated Practice, Inc.

  • General Practice Physician
  • Durham, NC
  • NPI 1205553369
  Medicare reassignment NPD
• Duke Health Integrated Practice, Inc

  • Gastroenterology Physician
  • Raleigh, NC
  • NPI 1780374884
  NPD

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1245755313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 IVY MEADOW LN",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076179",
            "telephone_number": "917-621-6041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 WAYNE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672509",
            "telephone_number": "917-621-6041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAHAV-VITENZON",
        "first_name": "SKY",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-09",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "021129-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Lago, RN, BSN
• Bukola Laguda
• Kerby Laguerre-Simon, NP
• Jackeline Laguerre, MSW
• Felix O Lagura, PT
• Sorbari Lahben, MD
• Wilner Junior Lahens, MD
• Sharon Rachel Lahijani
• Keyla J Lahoz Ogando
• Carlina E Lahoz-Ogando

• Physician Assistant in Bronx, NY
• Providers in Bronx, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.