Individual provider Active NPI

Victorio A.C Vandunk, FNP-C

  • Family Nurse Practitioner
  • Tarrytown, NY
National Provider Identifier
1710574645
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
344608 Issued in NY
Practice address
177 White Plains Rd Apt 25E
Tarrytown, NY 10591-5528
Phone
(845) 323-9637
NPI assigned
Dec 27, 2020
Last updated
Nov 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 344608 NY Primary

Addresses

Primary practice location

177 White Plains Rd Apt 25E
Tarrytown, NY 10591-5528

Mailing address

177 White Plains Rd Apt 25E
Tarrytown, NY 10591-5528
Phone (845) 323-9637

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210730002840 NY Practitioner - Nurse Practitioner 0244633022 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Divinity Medical Services PLLCGroup PAC ID 5193030245, 92 clinicians
Urgent Care Physician of New York-Hartsdale PLLCGroup PAC ID 8628253697, 13 clinicians

Practice addresses (Care Compare)

3379 Crompond Rd
Yorktown Heights, NY 10598-3605
Phone (914) 930-5550

843 Hutchinson River Pkwy
Bronx, NY 10465-1818
Phone (718) 925-4400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
344608NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dobbs Ferry Emergency Medicine, PC CurrentSince Jul 12, 2022 Accepting new patients
Excel Urgent Care of Fishkill PLLC CurrentSince Jul 15, 2021 Accepting new patients
Divinity Medical Services PLLC CurrentSince Sep 4, 2023 Accepting new patients
Urgent Care Physician of New York-Hartsdale PLLC CurrentSince Sep 16, 2023 Accepting new patients
Throgs Neck Urgent Medical Care PLLC CurrentSince Jul 15, 2021 Accepting new patients
Fishkill Pharmacy LLC PastSince Jul 15, 2021 Accepting new patients
Hicksville Family Medical Care, PLLC Past Accepting new patients

Locations

3594 E Tremont Ave
Bronx, NY 10465
Phone (718) 597-5800

128 Ashford Ave
Dobbs Ferry, NY 10522
Phone (914) 245-8936

42 Rockland Plz
Ste 22
Nanuet, NY 10954
Phone (845) 367-7395

484 Temple Hill Rd
Ste 103
New Windsor, NY 12553

967 N Broadway
Yonkers, NY 10701
Phone (914) 798-8956

3379 Crompond Rd
Yorktown Hts, NY 10598
Phone (914) 245-1111

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1609027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1710574645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 WHITE PLAINS RD APT 25E",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915528",
            "telephone_number": "845-323-9637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 WHITE PLAINS RD APT 25E",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915528",
            "telephone_number": "845-323-9637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDUNK",
        "first_name": "VICTORIO",
        "middle_name": "A.C",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-27",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "344608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarrytown, NY

Sources for this page

Verify at the official NPI Registry.