Active NPI
Joseph Robert Vitolo, MD
- Specialist
- Smithtown, NY
National Provider Identifier
1982784161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 167973-1
- Practice address
- 48 Route 25a, Suite 308
Smithtown, NY 11787 - Phone
- (631) 265-7744
- Fax
- (631) 862-3617
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 167973-1 | NY | Primary |
Addresses
Primary practice location
48 Route 25a, Suite 308
Smithtown, NY 11787
Mailing address
45 Hitherbrook Road
Head of the Harbor, NY 11780
Phone (631) 265-7744
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 167973-1 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319760000000",
"number": "1982784161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 HITHERBROOK ROAD",
"city": "HEAD OF THE HARBOR",
"state": "NY",
"postal_code": "11780",
"telephone_number": "631-265-7744",
"fax_number": "631-862-3617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 ROUTE 25A, SUITE 308",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "11787",
"telephone_number": "631-265-7744",
"fax_number": "631-862-3617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VITOLO",
"first_name": "JOSEPH",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2011-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "167973-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.