DR. VINCENT EVANGELISTA (NPI# 1932152352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932152352 |
| Entity Type | Individual |
| Full Name | DR. VINCENT EVANGELISTA |
| Credential | DPM |
| Practice Address |
9715 101st Ave Ozone Park NY 11416-2523 |
| Practice Telephone | 7188485700 |
| Practice Fax Number | 7183230449 |
| Mailing Telephone | 7188485700 |
| Mailing Fax Number | 7183230449 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2016-07-26 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
N004384 | NY | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
N004384 | NY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 1120236 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851668537 | Vincent Evangelista | Pharmacist | 2 Mansfield Grove Rd Apt 268, East Haven, CT 06512-4807 | 2011-11-22 |
| Street Address |
9715 101ST AVE |
| City | OZONE PARK |
| State | NY |
| Zip Code | 11416-2523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841591955 | Dr. Vincent Evangelista, Dpm PC | Podiatrist | 9715 101st Ave, Ozone Park, NY 11416-2523 | 2010-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151512 | 101 Rx Pharmacy Inc | Pharmacy | 101 Rx Pharmacy Inc, 9718 101st Ave, Ozone Park, NY 11416 | 2020-10-12 |
| 1205336591 | Ozone Park Quality Care Medicine Pllc | Clinic/Center | 7721 101st Ave Fl 1, Ozone Park, NY 11416 | 2018-02-14 |
| 1083152342 | Deshi Senior Centerllc | Clinic/Center | 8310 Rockaway Blvd, Ozone Park, NY 11416 | 2017-02-07 |
| 1225490154 | Engi Enany | Case Manager/Care Coordinator | 105 02 95th Avenue, 2nd Floor, Ozone Park, NY 11416 | 2016-03-21 |
| 1740659317 | Karen Ulloa | Registered Nurse | 105-01 101 Ave, Ozone Park, NY 11416 | 2015-09-24 |
| 1104232867 | Maria Pedreira Moretra | Licensed Practical Nurse | 105-0 101st Ave, Ozone Park, NY 11416 | 2014-07-02 |
| 1245667492 | Mohammed Miz Uddin | Licensed Practical Nurse | 9733 75th Street, Ozone Park, NY 11416 | 2013-10-02 |
| 1770910101 | Karen G Harikissoon | Social Worker | 10125 104th Street, Ozone Park, NY 11416 | 2013-09-30 |
| 1992049761 | Harry W. Lopez Dpm P.C. | Podiatrist | 87-16 101st Ave, Ozone Park, NY 11416 | 2012-11-19 |
| 1740538297 | R&m Global Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 94-04 76th St. Jamaica, Queens, NY 11416 | 2012-08-15 |
| Find all providers in zip 11416 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841591955 | Dr. Vincent Evangelista, Dpm PC | Podiatrist | 9715 101st Ave, Ozone Park, NY 11416-2523 | 2010-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386289452 | Good Align Podiatry Pllc | Podiatrist | 16 W 32nd St Ste 1001, New York, NY 10001-3852 | 2019-11-13 |
| 1386286532 | Power Podiatry PC | Podiatrist | 1900 Avenue W Apt 3j, Brooklyn, NY 11229-4738 | 2019-10-09 |
| 1841848777 | New York Foot and Ankle Podiatry, Pllc | Podiatrist | 115 Broadway Fl 18, New York, NY 10006-1604 | 2019-09-04 |
| 1588220412 | Anbinder Podiatrist P.C. | Podiatrist | 2930 W 5th St Apt 12c, Brooklyn, NY 11224-3950 | 2019-05-16 |
| 1477067452 | Akselrud Podiatry Care PC | Podiatrist | 2671 E 64th St Fl 2, Brooklyn, NY 11234-6815 | 2017-11-28 |
| 1780127456 | Larrie Rockmacher Dpm LLC | Podiatrist | 272 N Bedford Road, Suite 201, Mount Kisco, NY 10549-1168 | 2016-11-29 |
| 1508241852 | Peachtree Podiatry,pllc | Podiatrist | 45 S Grove St Apt 1, East Aurora, NY 14052-2365 | 2015-07-29 |
| 1407269590 | Yolanda Stahl Dpm PC | Podiatrist | 1457 Merrick Ave, Merrick, NY 11566 | 2014-06-05 |
| 1093132953 | Andrea Schulman | Podiatrist | 2040 Ryder St, Brooklyn, NY 11234-5024 | 2014-03-27 |
| 1497185508 | Good News Podiatry Pllc | Podiatrist | 4227 164th St # 3, Flushing, NY 11358-2619 | 2013-11-26 |
| Find all providers with the same taxonomy | ||||
| City | OZONE PARK |
| Zip Code | 11416 |
Please comment or provide details below to improve the information on DR. VINCENT EVANGELISTA.
| 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.