Active NPI
Vicente J Liz Defillo
- Psychosomatic Medicine Physician
- New York, NY
National Provider Identifier
1669982617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychosomatic Medicine Physician
- License
- 270405
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychosomatic Medicine Physician | 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 DirectoryLocations
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.
-
- Psychiatry Physician
- New York, NY
- NPI 1508032954
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.