Organization Active NPI

Vito C. Quatela, MD, Victor Medical, PLLC

Doing business as Longevita Medical

  • Sports Medicine (Internal Medicine) Physician
  • Victor, NY
National Provider Identifier
1366012247
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X
Legal business name
VITO C. QUATELA, MD, VICTOR MEDICAL, PLLC
Doing business as
Longevita Medical
Practice address
7255 State Route 96
Victor, NY 14564-9009
Phone
(585) 244-1000
NPI assigned
Jul 1, 2021
Last updated
Jul 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Authorized official

Name
Denise Stinardo
Title
Practice Administrator
Phone
(585) 269-3621

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0010X Primary

Addresses

Primary practice location

7255 State Route 96
Victor, NY 14564-9009

Mailing address

973 East Ave
Rochester, NY 14607-2216
Phone (585) 269-3688

Other names 1

  • Longevita Medical Doing business as

National Provider Directory

National Provider Directory

Locations

7255 State Route 96
Victor, NY 14564
Phone (585) 244-1000

Practitioners & affiliated clinicians

Practitioners 2

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": "1625097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625097600000",
    "number": "1366012247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "973 EAST AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146072216",
            "telephone_number": "585-269-3688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7255 STATE ROUTE 96",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145649009",
            "telephone_number": "585-244-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITO C. QUATELA, MD, VICTOR MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-01",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "STINARDO",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "585-269-3621"
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Longevita Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Victor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.