Ellen Vitievsky
Internal Medicine in West New York, New Jersey
1366547135- Practice location
- 5600 Kennedy Blvd W, Suite 102, West New York, NJ 07093-1256
- Phone
- 201-866-3100
- Fax
- 201-866-0321
- Last updated
- February 16, 2025
Ellen Vitievsky is an Internal Medicine based in West New York, NJ. Ellen Vitievsky practices in West New York, NJ. The NPI Number for Ellen Vitievsky is 1366547135 and holds a License No. 25MA07786200 (NJ). The current practice location address for Ellen Vitievsky is 5600 Kennedy Blvd W, Suite 102, West New York, NJ 07093-1256 and can be reached out via phone at 201-866-3100 and via fax at 201-866-0321.
Provider Profile Details
- NPI Number
- 1366547135
- Provider Name
- Ellen Vitievsky
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 5600 Kennedy Blvd W, Suite 102, West New York, NJ 07093-1256
- Phone Number
- 201-866-3100
- Fax Number
- 201-866-0321
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 14, 2006
- Last Update Date
- February 16, 2025
- Certification Date
- February 16, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5600 Kennedy Blvd W
Suite 102
West New York, NJ 07093-1256 - City
- West New York
- State
- New Jersey
- Zip
- 07093-1256
- Phone Number
- 201-866-3100
- Fax Number
- 201-866-0321
Provider Business Mailing Address Details
- Address
- Po Box 7664
North Brunswick, NJ 08902-7664 - City
- North Brunswick
- State
- NJ
- Zip
- 08902-7664
- Phone Number
- 201-866-3100
- Fax Number
- 201-866-0321
License Information
- License Number
- 25MA07786200
- License State
- NJ
- Taxonomy
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Ellen Vitievsky?
The NPI number of Ellen Vitievsky is 1366547135. It was assigned on September 14, 2006 and is currently active in the NPPES registry.
What is the specialty of Ellen Vitievsky?
Ellen Vitievsky is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number 25MA07786200.
Where does Ellen Vitievsky practice?
The practice location is 5600 Kennedy Blvd W, Suite 102, West New York, NJ 07093-1256. The office can be reached at 201-866-3100 (phone) or 201-866-0321 (fax).
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 1366547135 directly on the NPPES registry website.