Vitality NP Family Health PC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

482054 Issued in NY

Legal business name

VITALITY NP FAMILY HEALTH PC

Practice address

1009 Brighton Beach Ave
Brooklyn, NY 11235-5659

Phone

(718) 975-0657

Fax

(718) 975-4337

NPI assigned

Jan 6, 2015

Organization subpart

No

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

Authorized official

Name

Svetlana Pyatigorskaya, NP

Title

Owener

Phone

(718) 975-0657

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420502400000",
    "number": "1649668153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2912 BRIGHTON 12TH ST STE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354722",
            "telephone_number": "718-975-0657",
            "fax_number": "718-975-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 BRIGHTON BEACH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355659",
            "telephone_number": "718-975-0657",
            "fax_number": "718-975-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY NP FAMILY HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-06",
        "last_updated": "2015-01-06",
        "status": "A",
        "authorized_official_last_name": "PYATIGORSKAYA",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_title_or_position": "OWENER",
        "authorized_official_telephone_number": "718-975-0657",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "482054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Vitale, DDS
• Valerie J Vitale, M.D.
• Deborah Vitalis
• Krystal Vitalis
• Vitality Healthcare Services
• Callie Vitalo
• Vitalpath Medical Supply LLC
• Vitals Healthcare SVCS
• Vitals Healthcare SVCS (Vitals Healthcare Services)
• Vitaly Vaynshteyn Dental

• Family Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; 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.