Individual provider Active NPI

Benedetto Benny Vitullo, M.D.

  • Neonatal-Perinatal Medicine Physician
  • Rochester, NY
National Provider Identifier
1902874738
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
198542 Issued in NY
Practice address
1800 English Road
Suite 10
Rochester, NY 14616-1600
Phone
(585) 225-2525
Fax
(585) 225-2626
NPI assigned
Mar 9, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 198542 NY
Neonatal-Perinatal Medicine Physician 2080N0001X 198542 NY Primary

Addresses

Primary practice location

1800 English Road
Suite 10
Rochester, NY 14616-1600

Mailing address

1800 English Road
Suite 10
Rochester, NY 14616-1600
Phone (585) 225-2525

Other identifiers 1

IdentifierTypeStateIssuer
1806211MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
198542NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital Past Accepting new patients
English Road Pediatrics and Adolescent Medicine Pediatrics Past Accepting new patients

Organizations & group practices 2

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1902874738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 ENGLISH ROAD",
            "address_2": "SUITE 10",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146161600",
            "telephone_number": "585-225-2525",
            "fax_number": "585-225-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 ENGLISH ROAD",
            "address_2": "SUITE 10",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146161600",
            "telephone_number": "585-225-2525",
            "fax_number": "585-225-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITULLO",
        "first_name": "BENEDETTO",
        "middle_name": "BENNY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "198542",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NY",
            "license": "198542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1806211",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.