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LONG ISLAND MEDICAL AND SPA
NPI 1104202993
Clinical Nurse Specialist - Family Health in Holbrook, NY

Active since August 04, 2015
751 COATES AVE, SUITE 31, HOLBROOK, NY 11741(631) 580-0000(631) 580-0001 Get Directions Write a Review

NPPES record last updated: August 4, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Long Island Medical And Spa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LONG ISLAND MEDICAL AND SPA (NPI 1104202993) is a healthcare organization registered as a family health in Holbrook, New York and active in the NPI registry since August 2015. The organization lists Victoria Vamos, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1104202993
Entity TypeOrganization
Primary Taxonomy364SF0001X
Legal Business NameVICTORIA VAMOS, NURSE PRACTITIONER IN FAMILY HEALTH, P.C.
Location Address751 COATES AVE, SUITE 31Holbrook, NY 11741-6039
Mailing Address751 Coates Ave, Suite 31Holbrook, NY 11741-6039 · (631) 580-0000 · Fax (631) 580-0001
Phone(631) 580-0000
Fax(631) 580-0001
Organization SubpartNo
Authorized OfficialVictoria VamosMedical Director · (631) 580-0000
Enumeration DateAugust 4, 2015
✔ NPI 1104202993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Family HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SF0001X
License✔ Licensed in NY · F333441
751 COATES AVE, Holbrook, NY 11741
Open in Google Maps ↗

Other Names 1

Doing Business AsLong Island Medical And Spa

Other Identifiers 2

Medicaid02633829NY
Medicare UPINQ26270NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Long Island Medical And Spa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Long Island Medical And Spa, which bills Medicare for the services this clinician delivers.

Clinician (1)

Victoria Vamos, NP
Nurse Practitioner
NPI 1083669915
751 COATES AVE STE 31
Holbrook, NY 11741
(631) 580-0000
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Victoria Vamos, Nurse Practitioner In Family Health, P.C.'s NPI number?

The NPI number for Victoria Vamos, Nurse Practitioner In Family Health, P.C. is 1104202993. It was assigned to this organization in the NPPES registry on August 4, 2015. The provider is doing business as Long Island Medical And Spa.

Where is Victoria Vamos, Nurse Practitioner In Family Health, P.C. located?

Victoria Vamos, Nurse Practitioner In Family Health, P.C. is located at 751 Coates Ave Suite 31, Holbrook, NY 11741. The listed phone number is (631) 580-0000.

What is Victoria Vamos, Nurse Practitioner In Family Health, P.C.'s specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Family Health, with taxonomy code 364SF0001X.

Is Victoria Vamos, Nurse Practitioner In Family Health, P.C. enrolled in Medicare?

Yes. Victoria Vamos, Nurse Practitioner In Family Health, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Victoria Vamos, Nurse Practitioner In Family Health, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Victoria Vamos, Nurse Practitioner In Family Health, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Victoria Vamos, Nurse Practitioner In Family Health, P.C. was last updated on August 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.