Active NPI
Kerry Eileen Gitto, OTRL
- Contractor
- Port Jefferson, NY
National Provider Identifier
1538360433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 011758-1
- Practice address
- 28 Vantage CT
Port Jefferson, NY 11777-2242 - Phone
- (631) 473-8331
- NPI assigned
- May 29, 2007
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 011758-1 | NY | Primary |
Addresses
Primary practice location
28 Vantage CT
Port Jefferson, NY 11777-2242
Mailing address
28 Vantage CT
Port Jefferson, NY 11777-2242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011758-1 | NY | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190592000000",
"number": "1538360433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 VANTAGE CT",
"city": "PORT JEFFERSON",
"state": "NY",
"postal_code": "117772242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 VANTAGE CT",
"city": "PORT JEFFERSON",
"state": "NY",
"postal_code": "117772242",
"telephone_number": "631-473-8331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GITTO",
"first_name": "KERRY",
"middle_name": "EILEEN",
"name_prefix": "Ms.",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-29",
"last_updated": "2007-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NY",
"license": "011758-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Jefferson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.