Individual provider Active NPI

Vilor Shpitalnik, M.D.

  • Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1629094495
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
195295 Issued in NY
Practice address
1723 E 12TH St
Suite 202
Brooklyn, NY 11229-1069
Phone
(718) 615-7450
Fax
(718) 615-7452
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 195295 NY Primary

Addresses

Primary practice location

1723 E 12TH St
Suite 202
Brooklyn, NY 11229-1069

Mailing address

1723 E 12TH St
Suite 202
Brooklyn, NY 11229-1069
Phone (718) 615-7450

Other identifiers 13

IdentifierTypeStateIssuer
01497781MedicaidNY
195295-B16OtherNYHEALTH FIRST
000101430101OtherNYHEALTH PLUS
3186164OtherNYGHI
641251525OtherNYCENTER CARE
N216289OtherNYWELL CARE
P376493OtherNYOXFORD
BK0030902OtherNYAMERICHOICE
157096000OtherNYMAGELLAN
5311103OtherNYAETNA
085597MHSOtherNYVALUE OPTIONS
193734OtherNYMHN
92M99OtherNYEMPIRE BLUE CROSS BLUE SH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050907000899 NY Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 7719919075 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
Other, 1959
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Avant-Garde Psychiatric Consulting PLLCGroup PAC ID 1456613488, 6 clinicians

Practice addresses (Care Compare)

50 Brighton 11TH St
Brooklyn, NY 11235-5304
Phone (929) 617-8635

56 Brighton 11TH St
Suite 2a
Brooklyn, NY 11235-5304
Phone (929) 617-8635

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
New York Medical & Diagnostic Center Inc CurrentSince Jan 15, 1997 Accepting new patients
Avant-Garde Psychiatric Consulting PLLC Psychiatry CurrentSince Apr 1, 2025 Accepting new patients

Locations

8046 Kew Gardens Rd
Kew Gardens, NY 11415
Phone (718) 261-1000

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 2

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355184000000",
    "number": "1629094495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 E 12TH ST",
            "address_2": "SUITE 202",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291069",
            "telephone_number": "718-615-7450",
            "fax_number": "718-615-7452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1723 E 12TH ST",
            "address_2": "SUITE 202",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291069",
            "telephone_number": "718-615-7450",
            "fax_number": "718-615-7452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHPITALNIK",
        "first_name": "VILOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2012-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "195295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01497781",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH FIRST",
            "identifier": "195295-B16",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "000101430101",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "3186164",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CENTER CARE",
            "identifier": "641251525",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELL CARE",
            "identifier": "N216289",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P376493",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "BK0030902",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "157096000",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5311103",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "085597MHS",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "193734",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS BLUE SH",
            "identifier": "92M99",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.