Active NPI
Vincent J Gulfo, MD
- Physical Medicine & Rehabilitation Physician
- Middletown, NY
National Provider Identifier
1679552111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 162737
- Practice address
- 110 Crystal Run Rd
Middletown, NY 10941-4040 - Phone
- (845) 673-1071
- Fax
- (845) 695-1223
- NPI assigned
- Jan 12, 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 162737 | NY | Primary |
| Sports Medicine (Neuromusculoskeletal Medicine) Physician | 204C00000X | 162737 | NY | |
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 162737 | NY | |
| Spinal Cord Injury Medicine Physician | 2081P0004X | 162737 | NY | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 162737 | NY | |
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | 162737 | NY |
Addresses
Primary practice location
110 Crystal Run Rd
Middletown, NY 10941-4040
Mailing address
PO Box 1068
Warwick, NY 10990-8067
Phone (845) 987-7260
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01292837 | Medicaid | NY |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070116000455 | NY | Practitioner - Physical Medicine and Rehabilitation | 3971504002 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 162737 | NY | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391126400000",
"number": "1679552111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1068",
"city": "WARWICK",
"state": "NY",
"postal_code": "109908067",
"telephone_number": "845-987-7260",
"fax_number": "845-988-5749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 CRYSTAL RUN RD",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109414040",
"telephone_number": "845-673-1071",
"fax_number": "845-695-1223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GULFO",
"first_name": "VINCENT",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-12",
"last_updated": "2014-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "162737",
"primary": true
},
{
"code": "204C00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine, Sports Medicine",
"state": "NY",
"license": "162737",
"primary": false
},
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "NY",
"license": "162737",
"primary": false
},
{
"code": "2081P0004X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
"state": "NY",
"license": "162737",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "NY",
"license": "162737",
"primary": false
},
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "NY",
"license": "162737",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01292837",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.