Look up the most recent NPI and PECOS records

Joelle Vital

Internal Medicine

Allopathic & Osteopathic Physicians

2209 Merrick Rd Ste 202, Merrick, NY 11566-4770

PECOS Enrollment

Based on the most recent information from CMS, provider Joelle Vital is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1013070176
Provider Type
Individual
Full Name
Vital, Joelle
Title
Dr.
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
12/19/2006
Last Updated
6/10/2025

Contact Information

Practice Location

2209 Merrick Rd Ste 202, Merrick, NY 11566-4770

(516) 414-1101

(516) 414-1131

Mailing Location

2209 Merrick Rd Ste 202, Merrick, NY 11566-4770

(516) 414-1101

(516) 414-1131

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 234089 New York

Provider Identifiers

ID	Description	Issuer
ID 03278948	Description Medicaid	Issuer Unlisted New York

Joelle Vital

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Ema Medical, Pc

Winthrop Faculty Medical Affiliates University Faculty Practice Corpor

Goldstein, Andrew Mark

Gazizov, Natalya

Shore, Gary J

Bellan, Pamela Ann

Gary Shore Md Pc

Farooki, Mansoor

Edayadi, Alexander P

Nassau Medical Assoc