Organization Active NPI

Vicente J Liz Defillo

  • Psychosomatic Medicine Physician
  • New York, NY
National Provider Identifier
1669982617
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X
License
270405 Issued in NY
Legal business name
VICENTE J LIZ DEFILLO
Practice address
30 W 60TH St Apt 1F
New York, NY 10023-7906
Phone
(646) 359-1012
Fax
(718) 960-2023
NPI assigned
Oct 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Authorized official

Name
Vicente J Liz Defillo, M.D.NPI 1508032954
Title
Practitioner
Phone
(646) 359-1012

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychosomatic Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0015X 270405 NY Primary

Addresses

Primary practice location

30 W 60TH St Apt 1F
New York, NY 10023-7906

Mailing address

1295 5TH Ave Apt 33D
New York, NY 10029-3134
Phone (646) 359-1012

National Provider Directory

National Provider Directory

Locations

30 W 60th St
Apt 1F
New York, NY 10023
Phone (212) 262-5291

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1669982617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 5TH AVE APT 33D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100293134",
            "telephone_number": "646-359-1012",
            "fax_number": "718-960-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W 60TH ST APT 1F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100237906",
            "telephone_number": "646-359-1012",
            "fax_number": "718-960-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICENTE J LIZ DEFILLO",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-04",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A",
        "authorized_official_last_name": "LIZ DEFILLO",
        "authorized_official_first_name": "VICENTE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRACTITIONER",
        "authorized_official_telephone_number": "646-359-1012",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "NY",
            "license": "270405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; 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.