Vincent Anthony Bottaro, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0005422 Issued in MD

Practice address

7801 York Rd Ste 305
Towson, MD 21204-7449

Phone

(410) 583-5677

Fax

(410) 583-5680

NPI assigned

Jun 16, 2011

Last updated

Jul 29, 2025By the provider in NPPES

Sex

Male

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

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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

• Greater Baltimore Medical Center, Inc

  dba GBMC Dept of OBGYN, L&D

  • Obstetrics & Gynecology Physician
  • Baltimore, MD
  • NPI 1891855763
  Medicare reassignment
• Medstar Medical Group II LLC

  • General Practice Physician
  • Baltimore, MD
  • NPI 1184046187
  Medicare reassignment
• Greater Baltimore Medical Center, Inc.

  • Sleep Medicine (Internal Medicine) Physician
  • Baltimore, MD
  • NPI 1538029731
  NPD
• Greater Baltimore Medical Center, Inc.

  dba GBMC Health Partners Eye Center at Joppa Road

  • Ophthalmology Physician
  • Towson, MD
  • NPI 1770305971
  NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1811282981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 YORK RD STE 305",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047449",
            "telephone_number": "410-583-5677",
            "fax_number": "410-583-5680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 YORK RD STE 305",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047449",
            "telephone_number": "410-583-5677",
            "fax_number": "410-583-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTARO",
        "first_name": "VINCENT",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-16",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0005422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Elaine Boro-Hernandez, LCSW-C
• Misty Lynne Borst, MD
• Michelle Bortmes, MA, CAS, NCSP
• Michael John Boss, MD
• Jessica Lauren Bosse, M.S.
• Michael Bottega
• Frank J Bottiglieri, MD
• Miranda Grace Boucard, ATC
• Laura Rachel Boudman, LMSW
• Grace Boudris

• Physician Assistant in Towson, MD
• Providers in Towson, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.