Tracy Vitulli, LMT, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

004237 Issued in NY

Practice address

250 W 57TH St
New York, NY 10107-0001

Phone

(631) 258-2297

NPI assigned

Oct 22, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303776000000",
    "number": "1487980637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5931 GROVE ST",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113852634",
            "telephone_number": "631-258-2297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W 57TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101070001",
            "telephone_number": "631-258-2297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITULLI",
        "first_name": "TRACY",
        "credential": "LMT, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-22",
        "last_updated": "2011-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "022924",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "004237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Czeriesa Bondoc Vitug, PHARM D.
• Kristine Grace Domingo Vitug
• Sabrina Vitulano, AU.D.
• Nichole Vitulli, PA-C
• Sarah Vitulli, PA
• Mikko Dane Viudez, PMHNP-BC
• Viva Pharmacy, Inc.
• Vivacity Acupuncture PLLC
• Zalma Nathalie Vivanco
• Gabriela Tatiana Vivar, MSW

• Acupuncturist in New York, NY
• Providers in New York, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; 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.