Individual provider Active NPI

Vincent P Tarantola, MD

  • Pulmonary Disease Physician
  • Staten Island, NY
National Provider Identifier
1841248259
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
134045 Issued in NY
Practice address
78 Todt Hill Rd
Ste 206
Staten Island, NY 10314
Phone
(718) 816-0034
Fax
(718) 727-3191
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 134045 NY
Pulmonary Disease Physician 207RP1001X 134045 NY Primary

Addresses

Primary practice location

78 Todt Hill Rd
Ste 206
Staten Island, NY 10314

Mailing address

78 Todt Hill Rd
Ste 206
Staten Island, NY 10314
Phone (718) 816-0034

Other identifiers 1

IdentifierTypeStateIssuer
W6L821OtherNYGROUP MEDICARE ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090821000651 NY Practitioner - Internal MedicinePractitioner - Pulmonary Disease 0143374306 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
134045NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Todt Hill Medical Group Internal Medicine CurrentSince Nov 15, 1996 Accepting new patients
Richmond University Medical Center Past Accepting new patients
Amboy Medical Practice PC Internal Medicine PastSince Sep 1, 2024 Accepting new patients
Amboy Medical Practice PC Past Accepting new patients

Locations

78 Todt Hill Rd
Ste 206
Staten Island, NY 10314
Phone (718) 816-0034

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318809600000",
    "number": "1841248259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 TODT HILL RD",
            "address_2": "STE 206",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10314",
            "telephone_number": "718-816-0034",
            "fax_number": "718-727-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 TODT HILL RD",
            "address_2": "STE 206",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10314",
            "telephone_number": "718-816-0034",
            "fax_number": "718-727-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARANTOLA",
        "first_name": "VINCENT",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2011-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "134045",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "134045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE ID",
            "identifier": "W6L821",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.