DR. VITO FODERA (NPI# 1376818039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376818039 |
| Entity Type | Individual |
| Full Name | DR. VITO FODERA |
| Credential | M.D. |
| Practice Address |
763 Larkfield Rd Commack NY 11725-3131 |
| Practice Telephone | 6314895000 |
| Practice Fax Number | 6318581990 |
| Mailing Telephone | 6314895000 |
| Mailing Fax Number | 6318581990 |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2014-02-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0700X |
Radiology Specialization: Neuroradiology |
60264556 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | A400090538 | 05 |
| Street Address |
763 LARKFIELD RD |
| City | COMMACK |
| State | NY |
| Zip Code | 11725-3131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235116179 | Bab Nuclear Radiology, PC | Clinic/Center | 763 Larkfield Rd, Commack, NY 11725-3100 | 2005-12-30 |
| 1336684281 | Angela Monaco | Physical Therapist | 763 Larkfield Rd, Suite 101, Commack, NY 11725-3131 | 2017-01-02 |
| 1558750265 | Dorothy Porter | Specialist/Technologist, Other | 763 Larkfield Rd, Ste 202, Commack, NY 11725-3131 | 2015-01-19 |
| 1861818155 | Stefanos Pnevmatikos | Specialist/Technologist, Other | 763 Larkfield Rd, Suite 202, Commack, NY 11725 | 2014-03-11 |
| 1760808059 | Melissa Sandezer | Specialist/Technologist, Other | 763 Larkfield Rd, Ste 202, Commack, NY 11725 | 2014-03-11 |
| 1336405299 | Hand On Health Care | Mechanotherapist | 763 Larkfield Rd, Commack, NY 11725-3131 | 2012-04-04 |
| 1548543044 | Chris Prentiss Physical Therapy PC | Specialist | 763 Larkfield Rd, Suite 101, Commack, NY 11725-3131 | 2011-09-21 |
| 1811288483 | Insight Medical Diagnostics, PC | Clinic/Center | 763 Larkfield Rd, Commack, NY 11725-3131 | 2011-04-29 |
| 1225337595 | Daniel Choi | Orthopaedic Surgery | 763 Larkfield Rd, Commack, NY 11725-3131 | 2011-03-25 |
| 1083937981 | Long Island Spine Specialists PC | Physical Medicine & Rehabilitation | 763 Larkfield Rd, 2nd Floor, Commack, NY 11725-3131 | 2010-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699322131 | Amanda Grace Acebedo | Student in an Organized Health Care Education/Training Program | 785 Larkfield Rd, Commack, NY 11725 | 2019-08-20 |
| 1922667716 | Diana Mcnamara | Social Worker | 13 Audrey Lane, Commack, NY 11725 | 2019-06-06 |
| 1821504333 | Amy Koenig | Specialist | 787 Larkfield Rd, Commack, NY 11725 | 2017-12-19 |
| 1437661501 | Commack Chemist Inc | Pharmacy | 6216 Jericho Turnpike, Commack, NY 11725 | 2017-10-30 |
| 1285168880 | Stephanie Arico | Counselor | 14 Silver Pond Cir, Commack, NY 11725 | 2017-04-20 |
| 1235684432 | Ams Primary Medical Care House Calls,pc | Home Health | 6277 Jericho Tpk, Commack, NY 11725 | 2016-08-18 |
| 1376927459 | Min Sun Park | Dentist | All About Smiles Pediatric Dentistry, 5036 Jericho Turnpike Suite #307, Commack, NY 11725 | 2015-07-17 |
| 1467843748 | Joanna Keegan | Pharmacy Technician | 98 Veterans Memorial Highway, Commack, NY 11725 | 2015-02-09 |
| 1275936841 | Jennie Bernstein | Social Worker | 368 Veterans Hwy Ste 2, Commack, NY 11725 | 2014-09-26 |
| 1417362021 | Diana Matira Yildirim | Pediatrics | 646 Commack Road, Commack, NY 11725 | 2014-06-23 |
| Find all providers in zip 11725 | ||||
| Taxonomy Code | 2085N0700X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Neuroradiology |
| A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568926822 | Frederic A Mendelsohn Neurodiagnostics Inc | Radiology | 30 Seaside Dr, Port Jefferson, NY 11777-1132 | 2019-01-30 |
| 1639580244 | Julian Felder | Radiology | 20 Markwood Rd, Forest Hills, NY 11375-6050 | 2014-05-16 |
| 1982045845 | Reade Andrew De Leacy | Radiology | 1450 Madison Avenue, Box 1136, Klingenstein Clinical Center, 1-north, New York, NY 10029-6574 | 2013-07-08 |
| 1053653733 | Joanne Michelle Rispoli | Radiology | 560 1st Ave # 2, New York, NY 10016-6402 | 2013-03-20 |
| 1619215167 | Asim Maher | Radiology | 8342 241st St, Bellerose, NY 11426 | 2013-01-17 |
| 1568727121 | Akm Ashfaqur Rahman | Radiology | 23 Hadley Ct, Pittsford, NY 14534-2838 | 2012-07-10 |
| 1740554286 | Branch Medical, PC | Radiology | 35 Pinelawn Rd., Suite 112, Melville, NY 11747 | 2012-03-01 |
| 1437426483 | John William Duncan | Radiology | 7 E 14th St Apt 201, New York, NY 10003-3117 | 2011-11-18 |
| 1750685806 | Prachi Dubey | Radiology | 630 W168th Street # 28, New York, NY 10032 | 2011-01-04 |
| 1275850810 | Joseph Dobtsis | Radiology | 1445 Shore Pkwy Apt 4t, Brooklyn, NY 11214-6142 | 2010-04-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.