Organization Active NPI

Vincent Croglio DO Psychiatry PLLC

  • Psychiatry Physician
  • West Seneca, NY
National Provider Identifier
1770366387
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
VINCENT CROGLIO DO PSYCHIATRY PLLC
Practice address
50 Dyke Rd
West Seneca, NY 14224-2514
Phone
(716) 635-5010
Fax
(716) 265-3801
NPI assigned
Aug 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Authorized official

Name
Theresa Totaro
Title
Practice Manager
Phone
(716) 635-5010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

50 Dyke Rd
West Seneca, NY 14224-2514

Mailing address

50 Dyke Rd
West Seneca, NY 14224-2514
Phone (716) 635-5010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231212000744 NY Part B Supplier - Clinic/Group Practice 7911356258 Receives reassigned benefits from 1 practitioner
Practice locations: West Seneca, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1770366387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 DYKE RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142242514",
            "telephone_number": "716-635-5010",
            "fax_number": "716-265-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 DYKE RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142242514",
            "telephone_number": "716-635-5010",
            "fax_number": "716-265-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT CROGLIO DO PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "TOTARO",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "716-635-5010"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Seneca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.