Organization Active NPI

Vita Medical PC

  • Internal Medicine Physician
  • Forest Hills, NY
National Provider Identifier
1316229297
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
226577 Issued in NY
Legal business name
VITA MEDICAL PC
Practice address
7605 113TH Street
Forest Hills, NY 11375-1200
Phone
(718) 648-5858
Fax
(718) 375-2735
NPI assigned
Sep 15, 2011
Last updated
Sep 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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

Authorized official

Name
Dr. Sergey Voskin, MDNPI 1316028582
Title
Owner
Phone
(718) 648-5858

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 226577 NY Primary

Addresses

Primary practice location

7605 113TH Street
Forest Hills, NY 11375-1200

Mailing address

7605 113TH Street
Forest Hills, NY 11375-1200
Phone (718) 648-5858

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316044800000",
    "number": "1316229297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7605 113TH STREET",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751200",
            "telephone_number": "718-648-5858",
            "fax_number": "718-375-2735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7605 113TH STREET",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751200",
            "telephone_number": "718-648-5858",
            "fax_number": "718-375-2735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITA MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-15",
        "last_updated": "2011-09-15",
        "status": "A",
        "authorized_official_last_name": "VOSKIN",
        "authorized_official_first_name": "SERGEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-648-5858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "226577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.