Active NPIIndividual provider

Alexandra R Vitale, PA-C

Physician Assistant, Medical in Bristol, Connecticut

NPI Number1265803738
Practice location
15 Riverside Ave, Bristol, CT 06010
Fax
—
Last updated
August 5, 2025

Alexandra R. Vitale is a Physician Assistant, Medical based in Bristol, CT. Alexandra R. Vitale practices in Bristol, CT and has the professional credentials of PA-C. The NPI Number for Alexandra R. Vitale is 1265803738 and holds a License No. 3455 (CT). The current practice location address for Alexandra R. Vitale is 15 Riverside Ave, Bristol, CT 06010 and can be reached out via phone at 860-585-3333.

Provider Profile Details

NPI Number
1265803738
Provider Name
Alexandra R. Vitale
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
15 Riverside Ave, Bristol, CT 06010
Phone Number
860-585-3333
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Other Names
-- Alexandra Vitale, PA-C (Professional Name)
Provider Enumeration Date
October 9, 2015
Last Update Date
August 5, 2025
Certification Date
August 5, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Riverside Ave
Bristol, CT 06010
Zip
06010
Phone Number
860-585-3333
Bristol, CT 06010Get directions →

Provider Business Mailing Address Details

Address
2408 Whitney Ave
Hamden, CT 06518-3209
City
Hamden
State
CT
Zip
06518-3209
Phone Number
203-626-0160
Fax Number
203-294-6734

License Information

License Number (1)
3455
License State (1)
CT
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
3455
License State (2)
CT
Taxonomy (2)
Physician Assistant, Surgical · 363AS0400X
License Number (3)
3455
License State (3)
CT
Taxonomy (3)
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Alexandra R Vitale, PA-C?

The NPI number of Alexandra R Vitale, PA-C is 1265803738. It was assigned on October 9, 2015 and is currently active in the NPPES registry.

What is the specialty of Alexandra R Vitale, PA-C?

Alexandra R Vitale, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in CT under license number 3455.

Where does Alexandra R Vitale, PA-C practice?

The practice location is 15 Riverside Ave, Bristol, CT 06010. The office can be reached at 860-585-3333 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265803738 directly on the NPPES registry website.

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