Marie Vital

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

540830 Issued in NY

Practice address

10932 217TH St
Queens Village, NY 11429-1943

Phone

(917) 592-5155

NPI assigned

Jan 4, 2021

Last updated

Jan 4, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1801484019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10932 217TH ST",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114291943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10932 217TH ST",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114291943",
            "telephone_number": "917-592-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITAL",
        "first_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "540830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shalaha Viba, MD
• Ma Virginia Villadiego-Punto
• Mary Villanueva
• Visionary Optometry, PLLC (Visionary Eye Care)
• Vital Transit Inc.
• Jennica Vitug
• VJN DC, P.C.
• Julie B Vogel, LCSW-R
• Fallon Volcy, LPN
• Billy Joe Voltaire, DPT, CSCS

• Registered Nurse in Queens Village, NY
• Providers in Queens Village, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.