Vine Gate Inc.

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

VINE GATE INC.

Practice address

42 Amity PL
Staten Island, NY 10303

Phone

(917) 497-6791

NPI assigned

Nov 29, 2017

Last updated

Nov 29, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Funke Cinderela AjiboyeNPI 1235902321

Title

Executive Director

Phone

(917) 497-6791

Specialties & licenses 4

Addresses

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.

• Funke Ajiboye

  • Home Health Agency
  • Old Bridge, NJ
  • NPI 1235902321
  NPD Authorized official

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511913600000",
    "number": "1376057398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 HOLLAND AVENUE",
            "address_2": "APT 12L",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10303",
            "telephone_number": "917-497-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 AMITY PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10303",
            "telephone_number": "917-497-6791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINE GATE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-29",
        "last_updated": "2017-11-29",
        "status": "A",
        "authorized_official_last_name": "AJIBOYE",
        "authorized_official_first_name": "FUNKE",
        "authorized_official_middle_name": "CINDERELA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "917-497-6791",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miriam Villegas, RN
• Sunithi Krishnan Vinay, M.D
• Mikerlon Vincent, RN
• Tammy J Vinciguerra, OTR/L
• Alyssa Vindigni, M.S., CF-SLP, TSSLD
• Vine RX, LLC (Vine Rx Pharmacy)
• Nataliya Vinokur, M.S/B.S IN OT
• Jessica Lynn Viola, L.AC.
• Alessandra Violetta, LMHC
• Vip Home Health Care LLC

• Acupuncturist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; 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.