Vital Medical Care PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

VITAL MEDICAL CARE PLLC

Practice address

444 Elmont Rd
Elmont, NY 11003-3529

Phone

(516) 488-3552

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Fitzclaud Grant, MDNPI 1194893990

Title

MD

Phone

(516) 488-3552

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

Randy L Levine MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Randy L. Levine, M.D., P.C.

  • Hematology (Internal Medicine) Physician
  • New York, NY
  • NPI 1992805436
  NPD tax ID

Locations

Practitioners 1

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

• Fitzclaud Grant, M.D.

  • Specialist
  • Elmont, NY
  • NPI 1194893990
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370217600000",
    "number": "1780744300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 ELMONT RD",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110033529",
            "telephone_number": "516-488-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 ELMONT RD",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110033529",
            "telephone_number": "516-488-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL MEDICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2013-06-03",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "FITZCLAUD",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "516-488-3552",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramona Veras
• Ayanna Vickery
• Anabelle Vilbrun, OTR/L
• Lourdes Villagran
• Maryse N/a Vincent
• Angelique Vito
• Marie Staelle Volcy-Registre I, REGISTERED NURSE
• Volk Tech LLC
• Adaline Waite, RN
• Mavreen Alisha Waite, RN

• Specialist in Elmont, NY
• Providers in Elmont, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; 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.