St. Charles Hospital

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

F303866-1 Issued in NY

Legal business name

ST. CHARLES HOSPITAL

Practice address

2 Shelter Harbor CT
Wading River, NY 11792-2202

Phone

(631) 886-1668

NPI assigned

Jan 28, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Kim A Vitacco, MSNPI 1912908484

Title

Anp

Phone

(631) 474-6975

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kim Ann Vitacco, NP

  • Adult Health Nurse Practitioner
  • Wading River, NY
  • NPI 1912908484
  NPD (past) Authorized official

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

{
    "created_epoch": "1169942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639225816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SHELTER HARBOR CT",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117922202",
            "telephone_number": "631-886-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SHELTER HARBOR CT",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117922202",
            "telephone_number": "631-886-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CHARLES HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VITACCO",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ANP",
        "authorized_official_telephone_number": "631-474-6975",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "F303866-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liron Sinn
• Katharine Smith, M.S.CCC-SLP
• Melissa Ann Smith, LMSW
• Raegan M Smith, RN
• Christina M Squillante, PHARM D
• Brittany Nicole Staker, MA, CCC-SLP
• Sabrina Gabrielle Storms, LMSW
• Danae A Sue
• Karen Gail Sulitzer, D.O.
• Melissa Ellen Taylor, AUD

• General Acute Care Hospital in Wading River, NY
• Providers in Wading River, NY by specialty
• General Acute Care Hospital in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.