NPIMap

Individual provider Active NPI

Vitina Ruffino-Mosher, FNP

  • Family Nurse Practitioner
  • Fonda, NY
National Provider Identifier
1619030616
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F3337881 Issued in NY
Practice address
46 E Main St
Fonda, NY 12068-4821
Phone
(518) 853-3190
Fax
(518) 853-3191
NPI assigned
Dec 19, 2006
Last updated
Feb 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F3337881 NY Primary

Addresses

Primary practice location

46 E Main St
Fonda, NY 12068-4821

Mailing address

99 E State St
Gloversville, NY 12078-1203
Phone (518) 853-3190

Other identifiers 1

IdentifierTypeStateIssuer
02620304MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050926000120 NY Practitioner - Nurse Practitioner 8325072820 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

99 E State St
Gloversville, NY 12078-1203
Phone (518) 773-5690

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F3337881NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nathan Littauer Hospital Association Current Accepting new patients
Emily T. Etzkorn, M.D., P.C. CurrentSince Jul 21, 2015 Accepting new patients
Nathan Littauer Hospital & Nursing Home CurrentSince Jan 18, 2024 Accepting new patients
Nathan Littauer Hospital Association CurrentSince Jan 18, 2024 Accepting new patients
Nathan Littauer Hospital Association Past Accepting new patients
Otsego Medical Services PC PastSince Jul 1, 2010 Accepting new patients
Emily T. Etzkorn, MD, PC PastSince Jul 21, 2015 Accepting new patients

Locations

375 Golf Course Rd
Amsterdam, NY 12010
Phone (518) 212-6070

5010 State Highway 30
Ste G02
Amsterdam, NY 12010
Phone (518) 842-0017

46 E Main St
Fonda, NY 12068
Phone (518) 773-5308

99 E State St
Gloversville, NY 12078
Phone (518) 773-5690

23 S Perry St
Johnstown, NY 12095
Phone (518) 736-1500

Interoperability endpoints

  • Direct secure messaging: vmosher.nlh@hixny.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1619030616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 E STATE ST",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120781203",
            "telephone_number": "518-853-3190",
            "fax_number": "518-853-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 E MAIN ST",
            "city": "FONDA",
            "state": "NY",
            "postal_code": "120684821",
            "telephone_number": "518-853-3190",
            "fax_number": "518-853-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUFFINO-MOSHER",
        "first_name": "VITINA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F3337881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02620304",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fonda, NY

Sources for this page

Verify at the official NPI Registry.