Active NPI
Jennifer Vittorio, M.D.
- Pediatric Transplant Hepatology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Transplant Hepatology Physician
- License
- 257513
- Practice address
- 622 W 168TH St
New York, NY 10032-3720 - Phone
- (212) 305-0914
- Fax
- (212) 305-4343
- NPI assigned
- Aug 7, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Transplant Hepatology Physician | 2080T0004X | 257513 | NY | Primary |
| Pediatric Gastroenterology Physician | 2080P0206X | PENDING | NY | |
| Internal Medicine Physician | 207R00000X | 136710 | DC |
Addresses
Primary practice location
622 W 168TH St
New York, NY 10032-3720
Mailing address
3959 Broadway # CHC7-702
New York, NY 10032-1559
Phone (212) 305-5903
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03978636 | Medicaid | NY |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 136710 | DC | MD | Internal Medicine Physician |
| PENDING | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Trustees of Columbia University in the City of New York | Pediatric Transplant Hepatology | Current | Accepting new patients |
| Trustees of Columbia University in the City of New York | Internal Medicine | Current | Accepting new patients |
| Montefiore Medical Center | Internal Medicine | Current | Accepting new patients |
| Montefiore Medical Center | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Internal Medicine | Current | Accepting new patients |
| New York University | Internal Medicine | Current | Accepting new patients |
| Trustees of Columbia University in the City of New York | Internal Medicine | Current | Accepting new patients |
| New York University | Internal Medicine | Current | Accepting new patients |
| Montefiore Mount Vernon Hospital | Past | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Pediatric Gastroenterology | Past | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
317 E 34th St
New York, NY 10016
Phone (212) 263-9741
160 E 32nd St
Fl 2NF
New York, NY 10016
160 E 32nd St
Fl 2
New York, NY 10016
Phone (212) 263-0960
3959 Broadway
#7702
New York, NY 10032
Phone (212) 305-5903
14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- jvittorio547713@nyumc.direct-ci.com
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 10
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.
-
- Surgery Physician
- New York, NY
- NPI 1265598783
Pediatric Transplant Hepatology
-
- Surgery Physician
- New York, NY
- NPI 1508266347
Internal Medicine
-
- Cardiovascular Disease Physician
- Boynton Beach, FL
- NPI 1285826438
Internal Medicine, NY
-
- Internal Medicine Physician
- Fort Lee, NJ
- NPI 1982993184
NY
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
Internal Medicine
-
- General Acute Care Hospital
- Mount Vernon, NY
- NPI 1013345065
-
- Pediatric Emergency Medicine (Pediatrics) Physician
- New York, NY
- NPI 1760444822
Pediatric Gastroenterology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653264000000",
"number": "1285880450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3959 BROADWAY # CHC7-702",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100321559",
"telephone_number": "212-305-5903",
"fax_number": "212-342-5756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "622 W 168TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323720",
"telephone_number": "212-305-0914",
"fax_number": "212-305-4343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VITTORIO",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-07",
"last_updated": "2022-05-23",
"certification_date": "2022-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "2080T0004X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Transplant Hepatology",
"state": "NY",
"license": "257513",
"primary": true
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "NY",
"license": "PENDING",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "DC",
"license": "136710",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03978636",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.