VITASTAT MEDICAL PLLC (NPI# 1811232770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811232770 |
| Entity Type | Organization |
| Organization Name | VITASTAT MEDICAL PLLC |
| Practice Address |
2322 Broadway Astoria NY 11106-4196 |
| Mailing Address |
8738 20th Ave Brooklyn NY 11214-4802 |
| Practice Telephone | 9173008296 |
| Practice Fax Number | 9173008296 |
| Mailing Telephone | 9173008296 |
| Mailing Fax Number | 9173008296 |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2012-12-04 |
| Authorized Official Name | DR. KEN TRUONG (MANAGER) |
| Authorized Official Telephone | 9173008296 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
254736 | NY | Ambulatory Health Care Facilities |
| Street Address |
2322 BROADWAY |
| City | ASTORIA |
| State | NY |
| Zip Code | 11106-4196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124282694 | Ken Truong | Internal Medicine | 2322 Broadway, Astoria, NY 11106-4196 | 2008-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700492303 | Faizal Hussein | Physical Therapist | 3244 31st Street, Queens, NY 11106 | 2020-09-18 |
| 1730706086 | Stephanie J Coleman | Counselor | Enable My Child, 3545 28 St, Astoria, NY 11106 | 2020-07-02 |
| 1144870056 | Theresa Pizinger | Nurse Practitioner | 3157 31st St, Phf, Long Island City, NY 11106 | 2019-09-13 |
| 1881164564 | Adam Christopher Maslowski | Social Worker | 34-11 Vernon Blvd., Long Island City, NY 11106 | 2018-11-26 |
| 1730675273 | Astoria Dental Broadway | Dentist | 31-72 31st St, Suite #1, Astoria, NY 11106 | 2018-07-09 |
| 1225552037 | Joslynn Ramos | Social Worker | 14-15 Broadway, Astoria, NY 11106 | 2017-08-02 |
| 1790208791 | Sheilla Jean Baptiste Hadid | Prevention Professional | 34 59 Vernon Blvd Apt 1f, Astoria, NY 11106 | 2017-07-21 |
| 1396267225 | Serena Cisneros | Counselor | 34-25 Vernon Blvd, Long Island City, NY 11106 | 2017-07-12 |
| 1538689302 | Dara Michelle Lazar | Massage Therapist | 14-17 31st Avenue, Apt 2b, Astoria, NY 11106 | 2017-06-22 |
| 1093241143 | Kimlong Chan | Student in an Organized Health Care Education/Training Program | 2320 31st Avenue, Astoria, NY 11106 | 2017-05-11 |
| Find all providers in zip 11106 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275701997 | Brady Medical Consultants, Pllc | Clinic/Center | 2095 Exchange Street, Suite 150, Astoria, OR 97103-3419 | 2008-02-15 |
| 1093334138 | Rany Condos, M.d.p.c. | Clinic/Center | 2231 33rd St, Astoria, NY 11105-2402 | 2020-04-09 |
| 1891153722 | Metropolitan Interventional Medical Services P.C. | Clinic/Center | 2818 31st St, Astoria, NY 11102-1745 | 2016-02-06 |
| 1902062672 | Columbia Lutheran Charities | Clinic/Center | 2120 Exchange St, Suite 102, Astoria, OR 97103-3365 | 2008-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730704347 | Prestocorp | Clinic/Center | 315 W 36th St Fl 6, New York, NY 10018-6532 | 2020-06-09 |
| 1356977151 | Annie Coburn Kane, Lcsw PC | Clinic/Center | 638 Lake St # 818, Wilson, NY 14172-9600 | 2020-03-12 |
| 1386283695 | Queens Podiatry Pllc | Clinic/Center | 7001 Grand Ave, Maspeth, NY 11378-1820 | 2020-01-03 |
| 1184262255 | Health & Wellness Group Inc | Clinic/Center | 211 Broadway Ste 205, Lynbrook, NY 11563-3290 | 2019-12-19 |
| 1285278606 | Pure Eyecare Optometry P.C. | Clinic/Center | 10537 65th Ave Apt 4d, Forest Hills, NY 11375-1818 | 2019-10-29 |
| 1720629454 | International Travel Medicine, PC | Clinic/Center | 200 S Service Rd Ste 212, Roslyn Hts, NY 11577-2118 | 2019-10-03 |
| 1801446596 | Michael Bassiri-tehrani Md Pllc | Clinic/Center | 61 East 86th St., Practices At 86, New York, NY 10028 | 2019-09-16 |
| 1174178396 | Instant Care Np In Family Health | Clinic/Center | 89 Tennyson Dr, Nanuet, NY 10954-1039 | 2019-08-05 |
| 1811455801 | Five Borough Gastroenterology Medical Pllc | Clinic/Center | 340 W 86th St Apt 1a, New York, NY 10024-3274 | 2019-03-08 |
| 1598259996 | Ds Medical Diagnostics PC | Clinic/Center | 13249 41st Rd Ste 1c, Flushing, NY 11355-4286 | 2018-06-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on VITASTAT MEDICAL PLLC.
| 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.