Active NPI
Vilor Shpitalnik, M.D.
- Psychiatry Physician
- Brooklyn, NY
National Provider Identifier
1629094495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 195295
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01497781 | Medicaid | NY | |
| 195295-B16 | Other | NY | HEALTH FIRST |
| 000101430101 | Other | NY | HEALTH PLUS |
| 3186164 | Other | NY | GHI |
| 641251525 | Other | NY | CENTER CARE |
| N216289 | Other | NY | WELL CARE |
| P376493 | Other | NY | OXFORD |
| BK0030902 | Other | NY | AMERICHOICE |
| 157096000 | Other | NY | MAGELLAN |
| 5311103 | Other | NY | AETNA |
| 085597MHS | Other | NY | VALUE OPTIONS |
| 193734 | Other | NY | MHN |
| 92M99 | Other | NY | EMPIRE 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1959
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Medical & Diagnostic Center Inc | Current | Accepting new patients | |
| Avant-Garde Psychiatric Consulting PLLC | Psychiatry | Current | 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.
-
- Psychiatry Physician
- Brooklyn, NY
- NPI 1255849949
-
- Family Medicine Physician
- Kew Gardens, NY
- NPI 1790771889
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; 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.