Individual provider Active NPI

Elizabeth Chopin Vitale, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1265763015
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F401358 Issued in NY
Practice address
1330 Avenue of the Americas FL 23
New York, NY 10019-5443
Phone
(857) 753-8370
Fax
(845) 805-0157
NPI assigned
Jan 19, 2010
Last updated
Dec 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F401358 NY Primary

Addresses

Primary practice location

1330 Avenue of the Americas FL 23
New York, NY 10019-5443

Mailing address

1330 Avenue of the Americas FL 23
New York, NY 10019-5443
Phone (857) 753-8370

Other identifiers 3

IdentifierTypeStateIssuer
F401358OtherNYUNIVERSITY OF THE STATE OF NY ED DEPT OFFICE OF THE PROFESSIONS
00401358MedicaidNY
638897-01OtherNYTHE UNIVERSITY OF THE STATE OF NY ED DEPT OFFICE OF THE PROFESSIONS

Other names 1

  • Elizabeth C Vitale Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.therapyportal.com/p/elizabeth10013/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 7, 2025 through Jul 7, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F401358NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MMC OB-GYN Faculty Practice Plan Past Accepting new patients
Anesthesiology Associates of Boro Park, LLP Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1265763015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 AVENUE OF THE AMERICAS FL 23",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100195443",
            "telephone_number": "857-753-8370",
            "fax_number": "845-805-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 AVENUE OF THE AMERICAS FL 23",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100195443",
            "telephone_number": "857-753-8370",
            "fax_number": "845-805-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITALE",
        "first_name": "ELIZABETH",
        "middle_name": "CHOPIN",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-19",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSITY OF THE STATE OF NY ED DEPT OFFICE OF THE PROFESSIONS",
            "identifier": "F401358",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00401358",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE UNIVERSITY OF THE STATE OF NY ED DEPT OFFICE OF THE PROFESSIONS",
            "identifier": "638897-01",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.therapyportal.com/p/elizabeth10013/",
            "affiliation": "N",
            "endpointDescription": "EMR Portal",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "TherapyNotes EMR provider portal",
            "address_1": "17 State St Ste 4000",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100041508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "VITALE",
            "middle_name": "C",
            "credential": "PMHNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.