Vincent Joseph Vidayathil, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

144604 Issued in NY

Practice address

6 Liberty Square
Stony Point, NY 10980-2400

Phone

(845) 786-1788

Fax

(845) 786-5229

NPI assigned

Sep 21, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982703633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FROST COURT",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109566658",
            "telephone_number": "845-786-1788",
            "fax_number": "845-786-5229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 LIBERTY SQUARE",
            "city": "STONY POINT",
            "state": "NY",
            "postal_code": "109802400",
            "telephone_number": "845-786-1788",
            "fax_number": "845-786-5229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDAYATHIL",
        "first_name": "VINCENT",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "144604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01324510",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Unoma Tuke, LPN
• Twelve 13 Productions, LLC
• Patrick Tyler, PHYSICAL THERAPIST A
• Upper Eastside Internal Medicine
• Neil Valdez
• Amy Jocelynann Vistocco, MPT
• Walgreen Co
• Walgreen Co
• Aileen Walsh, DPT
• Ashley Anne Weireter, BCBA

• Internal Medicine Physician in Stony Point, NY
• Providers in Stony Point, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.