Vincent Vigilante, MEDICAL DOCTOR

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A1402121 Issued in NY

Practice address

5162 Searsville Rd
Pine Bush, NY 12566-6421

Phone

(845) 744-3392

Fax

(845) 744-3392

NPI assigned

Jun 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1376748475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 698",
            "address_2": "5162 SEARSVILLE RD",
            "city": "PINE BUSH",
            "state": "NY",
            "postal_code": "125660698",
            "telephone_number": "845-744-3392",
            "fax_number": "845-744-3392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5162 SEARSVILLE RD",
            "city": "PINE BUSH",
            "state": "NY",
            "postal_code": "125666421",
            "telephone_number": "845-744-3392",
            "fax_number": "845-744-3392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGILANTE",
        "first_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "MEDICAL DOCTOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "A1402121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany G Unterberger, SLP
• Ericka Maria Valenzuela, DO
• Christine Vanhoy, FNP
• Nancy Vendura, PNP
• Thomas Michael Verbovsky, DMD
• Walgreen Co
• Arthur Walker
• Alexander Walsh
• Catherine Miriam Wanko-Newman, PSY.D.
• Riaz A Wattoo, PH

• General Practice Physician in Pine Bush, NY
• Providers in Pine Bush, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.