Stephen David Vitale, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

006447 Issued in NY

Practice address

11110 Jamaica Ave
Richmond Hill, NY 11418-2322

Phone

(718) 847-2688

Fax

(718) 847-2627

NPI assigned

Aug 30, 2006

Last updated

Aug 18, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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 NY

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

Specialty

Physician Assistant

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Queens Professional Medical Care PCGroup PAC ID 5991693442, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Emerest Home Health Care of Long Island Home health agency, Flushing, NY, CCN 337189

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Queens Professional Medical Care,P.C.

  • Internal Medicine Physician
  • Richmond Hill, NY
  • NPI 1326158536
  Medicare reassignment Care Compare group
• Middle Village Diagnostic Imaging PC

  • Diagnostic Radiology Physician
  • Rego Park, NY
  • NPI 1497771687
  NPD (past)
• Pro Motion Physical Therapy,P.C.

  • Physical Therapist
  • Monroe, NY
  • NPI 1083724264
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Royal Care Certified Home Health Care LLC

  • Home Health Agency
  • Flushing, NY
  • NPI 1235529538
  Care Compare affiliation

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187395200000",
    "number": "1275643470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 BUCKINGHAM PL",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115631835",
            "telephone_number": "516-599-4475",
            "fax_number": "516-599-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 JAMAICA AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182322",
            "telephone_number": "718-847-2688",
            "fax_number": "718-847-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITALE",
        "first_name": "STEPHEN",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "006447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vip Health Care Services Inc.
• Vip Health Care Services, Inc
• Vip Health Care Services, Inc.
• Vip Health Care Services, Inc.
• Vip Health Services Inc
• Adam Charles Waddell, MD
• Fareeha Waheed
• Tayyaba Wajih, MD, MPH
• Walgreen Co (Walgreens #12490)
• Shareefa Akisia Wallace

• Medical Physician Assistant in Richmond Hill, NY
• Providers in Richmond Hill, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2007; 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.

Verify at the official NPI Registry.