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DR. LISA ANN VITALE DC
NPI 1114686763
Chiropractor in Staten Island, NY

Active since December 10, 2021
1235 FOREST HILL RD STE C1, STATEN ISLAND, NY 10314(718) 987-2273(718) 987-2277 Get Directions Write a Review

NPPES record last updated: December 10, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Lisa Ann Vitale Dc NPPES

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

DR. LISA ANN VITALE DC (NPI 1114686763) is an individual chiropractor in Staten Island, New York, licensed in New York (013542) and active in the NPI registry since December 2021. She is a graduate of New York Chiropractic College (2021).

NPPES Registry Identity

NPI1114686763
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. LISA ANN VITALECredential: DC
Location Address1235 FOREST HILL RD STE C1Staten Island, NY 10314-6314
Mailing Address1235 Forest Hill Rd Ste C1Staten Island, NY 10314-6314 · (718) 987-2273 · Fax (718) 987-2277
Phone(718) 987-2273
Fax(718) 987-2277
Sole ProprietorNo
Medical School CMSNew York Chiropractic CollegeGraduated 2021
Enumeration DateDecember 10, 2021
NPPES CertifiedDecember 10, 2021
✔ NPI 1114686763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NY · 013542
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1235 FOREST HILL RD STE C1, Staten Island, NY 10314
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lisa Ann Vitale Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941676076
PECOS Enrollment IDI20221014001238

Medicare Billing Reassignment

Medicare enrollment records show Lisa Vitale reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Atlas Chiropractic Wellness Center
10 mi
Chiropractor
106 CENTER ST
Garwood, NJ 07027
  • Reassigned Medicare billing, New Jersey enrollment
  • 2 clinicians in this Medicare group
NPI 1851004139 (201) 250-6122

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
119 services12 patients
Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
94 services11 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JF CHIROPRACTIC, PLLC
Chiropractor
1235 FOREST HILL RD STE C1
STATEN ISLAND, NY 10314
Richmond County (718) 987-2273
DR. GINA HABER DC
Chiropractor
1235 FOREST HILL RD STE C1
STATEN ISLAND, NY 10314
Richmond County (718) 987-2273

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 Lisa Vitale's NPI number?

The NPI number for Lisa Vitale is 1114686763. It was assigned to this individual provider in the NPPES registry on December 10, 2021.

Where is Lisa Vitale located?

Lisa Vitale practices at 1235 Forest Hill Rd Ste C1, Staten Island, NY 10314. The listed phone number is (718) 987-2273.

What is Lisa Vitale's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Lisa Vitale enrolled in Medicare?

Yes. Lisa Vitale is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lisa Vitale's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Vitale reassigns Medicare benefits to Atlas Chiropractic Wellness Center (Garwood, NJ). The 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 Lisa Vitale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Vitale accept?

Health plans from Providence Health Plan list Lisa Vitale as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Vitale was last updated on December 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.