Active NPI
Laurie A Vitagliano, M.D.
- Psychiatry Physician
- Jamaica, NY
National Provider Identifier
1518063445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 228330
- Practice address
- 8268 164TH St # 336F
Jamaica, NY 11432-1104 - Phone
- (718) 883-4027
- NPI assigned
- Sep 16, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 228330 | NY | Primary |
Addresses
Primary practice location
8268 164TH St # 336F
Jamaica, NY 11432-1104
Mailing address
8268 164TH St # 336F
Jamaica, NY 11432-1104
Phone (718) 883-4027
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LMC Physician Services, PC | Psychiatry | Past | Accepting new patients |
Interoperability endpoints
- lvitagliano15943@nychhc.direct-ci.com
Organizations & group practices 1
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": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652659200000",
"number": "1518063445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8268 164TH ST # 336F",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114321104",
"telephone_number": "718-883-4027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8268 164TH ST # 336F",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114321104",
"telephone_number": "718-883-4027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VITAGLIANO",
"first_name": "LAURIE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-16",
"last_updated": "2022-05-16",
"certification_date": "2022-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "228330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; 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.