Vitality Medical, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

174519 Issued in NY

Legal business name

VITALITY MEDICAL, PC

Practice address

350 Old Country Rd
Garden City, NY 11530-1749

Phone

(516) 279-6578

NPI assigned

Dec 8, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Michael Richheimer

Title

Owner

Phone

(516) 761-9932

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1730457425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2942 HARBOR RD",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 OLD COUNTRY RD",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115301749",
            "telephone_number": "516-279-6578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-08",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "RICHHEIMER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-761-9932",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "174519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1285614107",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grisselle Virga, LMSW
• Virginia P. Beaulac, Inc.
• Virtual Medical, PC
• Visiting Dermatology PLLC
• Visiting Nurse Association of Long Island Lthhcp
• Jesse Vitchers
• Connor Matthew Vlasaty, PT, DPT, CSCS
• Albert August Volkl, PHARMD, BCPS, R.PH.
• Diana Vollaro
• Marina Voron, LMFT

• Internal Medicine Physician in Garden City, NY
• Providers in Garden City, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.