Individual provider Active NPI

Eamonn Vitt, MD

  • Family Medicine Physician
  • Ny, NY
National Provider Identifier
1437178332
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
233642 Issued in NY
Practice address
30 Fifth Avenue Ste 1E
Ny, NY 10011
Phone
(212) 674-8777
Fax
(347) 287-6907
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 233642 NY Primary

Addresses

Primary practice location

30 Fifth Avenue Ste 1E
Ny, NY 10011

Mailing address

30 Fifth Avenue Ste 1E
Ny, NY 10011
Phone (212) 674-8777

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
I20240514001778 NY Order and Referring Only - Family PracticePractitioner - Family Practice 3173964756

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: drevitt@vitt.directmedgenehr.com
  • Direct secure messaging: evitt351972@nyumc.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1437178332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 FIFTH AVENUE STE 1E",
            "city": "NY",
            "state": "NY",
            "postal_code": "10011",
            "telephone_number": "212-674-8777",
            "fax_number": "347-287-6907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 FIFTH AVENUE STE 1E",
            "city": "NY",
            "state": "NY",
            "postal_code": "10011",
            "telephone_number": "212-674-8777",
            "fax_number": "347-287-6907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITT",
        "first_name": "EAMONN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "233642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ny, NY

Sources for this page

Verify at the official NPI Registry.