DOMENICO VITERBO (NPI# 1932333093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932333093 |
| Entity Type | Individual |
| Full Name | DOMENICO VITERBO |
| Credential | MD |
| Practice Address |
1375 Washington Ave Ste 101 Albany NY 12206-1056 |
| Mailing Address |
111 Clock Tower Cmns Brewster NY 10509-4055 |
| Practice Telephone | 5184384483 |
| Mailing Telephone | 8455924915 |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2018-09-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
283724-1 | NY | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Q3826 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | LICENSE | 283724-1 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 159 Barnegat Rd Fl 2, Poughkeepsie, NY 126015401 | (845) 452-9800 | 8454527691 |
| 5323 Harry Hines Blvd, Dallas, TX 753907201 | 2146450595 | 2146450078 |
| Street Address |
1375 WASHINGTON AVE STE 101 |
| City | ALBANY |
| State | NY |
| Zip Code | 12206-1056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493374 | Danielle Rhea Napieralski | Physician Assistant | 1375 Washington Ave Ste 101, Albany, NY 12206-1056 | 2020-10-07 |
| 1144700758 | Jenny Colleen Keane | Nurse Practitioner | 1375 Washington Ave Ste 101, Albany, NY 12206 | 2018-08-14 |
| 1518447127 | Felicia Catherine Rogers | Nurse Practitioner | 1375 Washington Ave Ste 101, Albany, NY 12206-1056 | 2018-08-14 |
| 1780176073 | Stephanie L Racz | Physician Assistant | 1375 Washington Ave Ste 101, Albany, NY 12206-1056 | 2018-06-01 |
| 1003316266 | Veronica E Striffler | Nurse Practitioner | 1375 Washington Ave Ste 101, Albany, NY 12206-1056 | 2018-02-14 |
| 1871017541 | Michelle Susan Mcelroy | Physician Assistant | 1375 Washington Ave Ste 101, Albany, NY 12206-1056 | 2017-08-03 |
| 1922365386 | Neil Volk | Internal Medicine | 1375 Washington Ave Ste 101, Albany, NY 12206-1056 | 2012-04-23 |
| 1134428907 | Jonathan Edward Barsa | Internal Medicine | 1375 Washington Ave Ste 101, Albany, NY 12206 | 2011-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144749854 | Madena Lynn Henderson | Licensed Practical Nurse | 51 Garfield Pl, Albany, NY 12206 | 2017-09-13 |
| 1912456534 | Adeel A Janjua I | Contractor | 17 Roosevelt St, Albany, NY 12206 | 2016-09-23 |
| 1376901595 | Jacqueline Aimee Dall | Nurse Practitioner | 855 Central Avenue, Albany, NY 12206 | 2016-02-02 |
| 1326414210 | Sarah Walton | Pharmacist | 346 Central Ave, Albany, NY 12206 | 2015-08-14 |
| 1376932558 | Hope House, Inc. | Substance Abuse Rehabilitation Facility | 577 Livingston Ave., Albany, NY 12206 | 2015-01-12 |
| 1679993828 | Lori S. Matulewicz | Nurse Practitioner | 500 Central Ave., Equinox, Inc., Albany, NY 12206 | 2014-04-25 |
| 1437417995 | Ernest Nicola Chisena | Orthopaedic Surgery | 1367 Washington Avenue Suite 200, Albany, NY 12206 | 2012-05-02 |
| 1629368519 | Joseph M Rozell | Radiology | 255 Patroon Creek Blvd Apt 3439, Albany, NY 12206 | 2011-04-12 |
| 1346542404 | Melissa June Kowlessar | Licensed Practical Nurse | 69 Benson Street, Albany, NY 12206 | 2010-11-23 |
| 1316109796 | Edmund John Mcgrath | Podiatrist | 911 Central Avenue #24, Albany, NY 12206 | 2008-06-27 |
| Find all providers in zip 12206 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447567649 | Hubertus Heinrich Nietsch | Internal Medicine | 47 New Scotland Ave # Mc48, Pysicians Pavillion, 4th Floor, Albany, NY 12208-3412 | 2010-09-09 |
| 1750341905 | Albert Edward Ryckman | Internal Medicine | 631 Elm St. Sw, Suite 202, Albany, OR 97321 | 2006-03-23 |
| 1871587170 | Marsha G Pierdinock | Internal Medicine | 1009 N Monroe St, Albany, GA 31701-1903 | 2005-09-01 |
| 1124011085 | Matthew B Grundfast | Internal Medicine | 2740 Ray Knight Way Ste 100, Albany, GA 31707-0226 | 2005-08-25 |
| 1376816199 | Albany-capital Region Gastroenterology Consultants Co Pllc | Internal Medicine | 1375 Washington Avenue, Suite 101, Albany, NY 11206-1040 | 2012-02-10 |
| 1255575262 | Matthew Gregory Warndorf | Internal Medicine | 1375 Washington Ave, Suite 101, Albany, NY 12206-1040 | 2009-04-22 |
| 1447498076 | Sajid Hussain | Internal Medicine | 1375 Washington Ave, Suite 101, Albany, NY 12206-1040 | 2009-02-04 |
| 1043465214 | Clyde Aulgin Collins | Internal Medicine | 113 Holland Ave., Albany, NY 12208 | 2008-12-01 |
| 1356509574 | Robert Joseph Gianotti IIi | Internal Medicine | 1375 Washington Ave, Suite 101, Albany, NY 12206-1040 | 2008-05-23 |
| 1952589210 | Jennifer A Northrop | Internal Medicine | 1375 Washington Ave, Suite 101, Albany, NY 12206-1040 | 2008-02-08 |
| Find all providers in ALBANY | ||||
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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.