Individual provider Active NPI

Charlene Vitale, M.D.

  • Internal Medicine Physician
  • Rochester, NY
National Provider Identifier
1720099856
Registry record updated Jan 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
186511 Issued in NY
Practice address
2561 Lac de Ville Blvd
Ste 100
Rochester, NY 14618-5645
Phone
(585) 424-3410
Fax
(585) 214-0042
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 186511 NY Primary

Addresses

Primary practice location

2561 Lac de Ville Blvd
Ste 100
Rochester, NY 14618-5645

Mailing address

2561 Lac de Ville Blvd
Ste 100
Rochester, NY 14618-5645
Phone (585) 424-3410

Other names 1

  • Charlene V Conners Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060918000300 NY Practitioner - Internal Medicine 7517962905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York at Buffalo School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2561 Lac de Ville Blvd
Rochester, NY 14618-5645
Phone (585) 424-3410

Hospital & facility affiliations

  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285
  • Rochester General Hospital Hospital, Rochester, NY, CCN 330125
  • F F Thompson Hospital Hospital, Canandaigua, NY, CCN 330074
  • Geneva General Hospital Hospital, Geneva, NY, CCN 330058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
186511NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Zoneci Medical PLLC CurrentSince Jul 5, 2006 Accepting new patients

Locations

2561 Lac de Ville Blvd
Ste 102
Rochester, NY 14618
Phone (585) 385-5981

2561 Lac de Ville Blvd
Ste 100
Rochester, NY 14618
Phone (585) 473-1290

Organizations & group practices 1

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

Hospital & facility affiliations 5

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484956800000",
    "number": "1720099856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2561 LAC DE VILLE BLVD",
            "address_2": "STE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185645",
            "telephone_number": "585-424-3410",
            "fax_number": "585-214-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2561 LAC DE VILLE BLVD",
            "address_2": "STE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185645",
            "telephone_number": "585-424-3410",
            "fax_number": "585-214-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITALE",
        "first_name": "CHARLENE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2017-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "186511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLENE",
            "last_name": "CONNERS",
            "middle_name": "V",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.