Individual provider Active NPI

Antonia Vitagliano

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1285562736
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
358815 Issued in NY
Practice address
535 W 110TH St Apt 1E
New York, NY 10025-2021
Phone
(212) 280-4740
NPI assigned
May 13, 2026
Last updated
Aug 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 358815 NY Primary

Addresses

Primary practice location

535 W 110TH St Apt 1E
New York, NY 10025-2021

Mailing address

93 Jewel St Apt 1L
Brooklyn, NY 11222-3017
Phone (508) 280-8139

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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
358815NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Family Medicine PLLC. CurrentSince Aug 1, 2026 Accepting new patients
American Chiropractic Enterprise PLLC PastSince Aug 1, 2026 Accepting new patients

Locations

322 Fairview Ave
Hudson, NY 12534
Phone (518) 828-3662

535 W 110th St
Apt 1E
New York, NY 10025
Phone (212) 222-1180

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": "1778630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1285562736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 JEWEL ST APT 1L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112223017",
            "telephone_number": "508-280-8139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 W 110TH ST APT 1E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100252021",
            "telephone_number": "212-280-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITAGLIANO",
        "first_name": "ANTONIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-13",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "358815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.