Vital Medical Care Aesthetics P.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

234089 Issued in NY

Legal business name

VITAL MEDICAL CARE AESTHETICS P.C.

Practice address

2209 Merrick Rd Ste 202
Merrick, NY 11566-4770

Phone

(516) 414-1101

Fax

(516) 414-1131

NPI assigned

Aug 18, 2010

Last updated

Feb 4, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joelle Vital, M.D.NPI 1013070176

Title

Owner

Phone

(516) 414-1101

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8212/brand/1/csg/1/fhir/r4

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joelle Vital, MD

  • Internal Medicine Physician
  • Merrick, NY
  • NPI 1013070176
  Medicare reassignment Authorized official
• Thara Foreste, MD

  • Family Medicine Physician
  • Manhasset, NY
  • NPI 1508986571

  Single Specialty

  Medicare reassignment NPD
• Marc J Rosenblatt, DO

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Spring Valley, NY
  • NPI 1164422895

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1942515663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 W OAK ST",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012960",
            "telephone_number": "631-608-1192",
            "fax_number": "631-608-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 MERRICK RD STE 202",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664770",
            "telephone_number": "516-414-1101",
            "fax_number": "516-414-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL MEDICAL CARE AESTHETICS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-18",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "VITAL",
        "authorized_official_first_name": "JOELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-414-1101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "234089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02687236",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Veltre, DC
• Heather Marie Vicquery, LCSW
• Kavitha Vijayasekar, MD
• Nilsya Edith Villarreal Rodriguez
• Paula Viscardi, LMSW
• Joelle Vital, MD
• Polixeni Christina Vlamis, LMT
• Christine Voll, PSYD
• Christopher Howard Voltmer
• Jayna Kyriacou Vongerichten, CCC-SLP

• Primary Care Clinic/Center in Merrick, NY
• Providers in Merrick, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.