Active NPI
Vincent Patrick Vitale, PHYSICIAN ASSISTANT
- Physician Assistant
- Mount Kisco, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 023212
- Practice address
- 400 E Main St
Mount Kisco, NY 10549-3417 - Phone
- (516) 625-1014
- Fax
- (516) 414-4011
- NPI assigned
- Feb 11, 2019
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 023212 | NY | Primary |
Addresses
Primary practice location
400 E Main St
Mount Kisco, NY 10549-3417
Mailing address
112 Madison Ave
Garden City Park, NY 11040-5229
Phone (516) 625-1014
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3535 Olentangy River Rd
Columbus, OH 43214-3908
393 E Town St
Columbus, OH 43215-4799
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.04 of 100
- Quality
- 58.67
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.46
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.44 of 100
- Quality
- 75.57
- Promoting interoperability
- 79
- Improvement activities
- 40
- Cost
- 73.41
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohiohealth Corporation | Multi-Specialty | Current | Accepting new patients |
| Mount Carmel Healthproviders Two LLC | Multi-Specialty | Current | Accepting new patients |
| Ohiohealth Corporation | Multi-Specialty | Current | Accepting new patients |
Locations
393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108
Dept L3652
Columbus, OH 43260
6150 E Broad St
Columbus, OH 43213
Phone (614) 546-4400
1040 Delaware Ave
Marion, OH 43302
Phone (330) 256-9874
Interoperability endpoints
- vvitale2339517@direct.trinity-health.org
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Columbus, OH
- NPI 1578545273
-
- Internal Medicine Physician
- Marion, OH
- NPI 1619230802
-
- Cardiovascular Disease Physician
- Columbus, OH
- NPI 1134154750
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Columbus, OH
- NPI 1265627301
Multi-Specialty
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1467484972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549843200000",
"number": "1568928885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 MADISON AVE",
"city": "GARDEN CITY PARK",
"state": "NY",
"postal_code": "110405229",
"telephone_number": "516-625-1014",
"fax_number": "516-414-4012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E MAIN ST",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105493417",
"telephone_number": "516-625-1014",
"fax_number": "516-414-4011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VITALE",
"first_name": "VINCENT",
"middle_name": "PATRICK",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-02-11",
"last_updated": "2019-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "NY",
"license": "023212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Kisco, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.