NPIMap

Organization Active NPI

William J. Vendittelli DC PC

  • Chiropractor
  • Forest Hills, NY
National Provider Identifier
1609149640
Registry record updated Mar 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X2913 Issued in NY
Legal business name
WILLIAM J. VENDITTELLI DC PC
Practice address
71-36 110TH St
Suite 1L
Forest Hills, NY 11375
Phone
(718) 268-1976
Fax
(718) 544-9365
NPI assigned
Feb 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2012

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

Authorized official

Name
Dr. William J Vendittelli, D.C.
Title
President
Phone
(718) 268-1976

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X2913 NY Primary

Addresses

Primary practice location

71-36 110TH St
Suite 1L
Forest Hills, NY 11375

Mailing address

71-36 110TH St
Suite 1L
Forest Hills, NY 11375
Phone (718) 268-1976

Other identifiers 1

IdentifierTypeStateIssuer
02822535MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332460800000",
    "number": "1609149640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71-36 110TH ST",
            "address_2": "SUITE 1L",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-268-1976",
            "fax_number": "718-544-9365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71-36 110TH ST",
            "address_2": "SUITE 1L",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-268-1976",
            "fax_number": "718-544-9365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM J. VENDITTELLI DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-22",
        "last_updated": "2012-03-23",
        "status": "A",
        "authorized_official_last_name": "VENDITTELLI",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-268-1976",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X2913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02822535",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; 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.