Individual provider Active NPI

Timothy J Vittorio, M.D.

  • Cardiovascular Disease Physician
  • Bronx, NY
National Provider Identifier
1427044536
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
211134 Issued in NY
Practice address
1276 Fulton Ave RM 208
Bronx, NY 10456-3402
Phone
(171) 890-1891
Fax
(718) 901-8918
NPI assigned
Sep 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 211134 NY Primary

Addresses

Primary practice location

1276 Fulton Ave RM 208
Bronx, NY 10456-3402

Mailing address

1276 Fulton Ave RM 208
Bronx, NY 10456-3402

Other practice location 1

100 Port Washington Blvd.
Congestive Heart Failure
Roslyn, NY 11576-1347
Phone (516) 629-2090

Other identifiers 1

IdentifierTypeStateIssuer
02042340MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050719000553 NY Practitioner - Cardiovascular Disease (Cardiology) 6709813025 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bronxcare Health System Cardiovascular Disease CurrentSince Jun 1, 2017 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Mar 24, 2024 Accepting new patients
Essen Medical Associates, PC CurrentSince Mar 24, 2024 Accepting new patients
Shakespeare Operating LLC CurrentSince Mar 24, 2024 Accepting new patients
Bronxcare Health System CurrentSince Jun 1, 2017 Accepting new patients
Essen Medical Associates,PC CurrentSince Mar 24, 2024 Accepting new patients
Essen Medical Associates, PC Current Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Mar 24, 2024 Accepting new patients
New York University Medical Center Cardiovascular Disease PastSince Mar 15, 2008 Accepting new patients
Park Avenue Medical Associates, P.C. PastSince Dec 4, 1999 Accepting new patients

Locations

1276 Fulton Ave
Rm 208
Bronx, NY 10456
Phone (718) 901-8918

1250 Shakespeare Ave
Bronx, NY 10452
Phone (646) 350-1633

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1427044536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1276 FULTON AVE RM 208",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104563402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 FULTON AVE RM 208",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104563402",
            "telephone_number": "171-890-1891",
            "fax_number": "718-901-8918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Port Washington Blvd.",
            "address_2": "Congestive Heart Failure",
            "address_purpose": "LOCATION",
            "city": "Roslyn",
            "state": "NY",
            "postal_code": "115761347",
            "country_code": "US",
            "telephone_number": "516-629-2090",
            "fax_number": "516-629-2094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VITTORIO",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "211134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02042340",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.