Organization Active NPI

Vibrant Medical Care PC

  • Medical Specialty Clinic/Center
  • Ozone Park, NY
National Provider Identifier
1386319994
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
VIBRANT MEDICAL CARE PC
Practice address
7702 Pitkin Ave
Ozone Park, NY 11417-1131
Phone
(718) 709-0010
NPI assigned
Aug 16, 2021
Last updated
Aug 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Authorized official

Name
Joseph F Damore, MD
Title
President
Phone
(631) 871-2160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

7702 Pitkin Ave
Ozone Park, NY 11417-1131

Mailing address

7702 Pitkin Ave
Ozone Park, NY 11417-1131
Phone (718) 709-0010

National Provider Directory

National Provider Directory

Locations

7702 Pitkin Ave
Ozone Park, NY 11417
Phone (718) 709-0010

NPI Registry JSON

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629072000000",
    "number": "1386319994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7702 PITKIN AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114171131",
            "telephone_number": "718-709-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7702 PITKIN AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114171131",
            "telephone_number": "718-709-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRANT MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A",
        "authorized_official_last_name": "DAMORE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-871-2160",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozone Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.