Active NPI
Adam Vytykac, M.D.
- Emergency Medicine Physician
- Brooklyn, NY
National Provider Identifier
1467758243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME115497
- Practice address
- 506 6TH St
Office of Emergency Medicine
Brooklyn, NY 11215-3609 - Phone
- (718) 780-5040
- NPI assigned
- Jan 27, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME115497 | FL | Primary |
Addresses
Primary practice location
506 6TH St
Office of Emergency Medicine
Brooklyn, NY 11215-3609
Mailing address
506 6TH St
Office of Emergency Medicine
Brooklyn, NY 11215-3609
Phone (718) 780-5040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Observation Medical Group LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Medical Associates of Tampa Bay, LLC | Emergency Medicine | Current | Accepting new patients |
| Observation Medical Group LLC | Emergency Medicine | Current | Accepting new patients |
| Florida Em-I Medical Services PA | Emergency Medicine | Past | Accepting new patients |
Locations
4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300
3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Tampa, FL
- NPI 1023397817
-
- Emergency Medicine Physician
- Tampa, FL
- NPI 1952763682
-
- Emergency Medicine Physician
- Jacksonville, FL
- NPI 1285686675
-
- Emergency Medicine Physician
- Riverview, FL
- NPI 1467094425
-
- Emergency Medicine Physician
- Lakeland, FL
- NPI 1871542720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465171200000",
"number": "1467758243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 6TH ST",
"address_2": "OFFICE OF EMERGENCY MEDICINE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112153609",
"telephone_number": "718-780-5040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 6TH ST",
"address_2": "OFFICE OF EMERGENCY MEDICINE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112153609",
"telephone_number": "718-780-5040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VYTYKAC",
"first_name": "ADAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-01-27",
"last_updated": "2016-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME115497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.