1. Home
  2. Directory
  3. New York
  4. Staten Island
  5. Physician Assistant
  6. NPI Profile

VINCENT MICHAEL LANZILLO PA
NPI 1164309076
Physician Assistant in Staten Island, NY

Active since August 20, 2025PECOS Enrolled
42 CROMWELL CIR, STATEN ISLAND, NY 10304(718) 594-5668 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Vincent Michael Lanzillo Pa NPPES

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

VINCENT MICHAEL LANZILLO PA (NPI 1164309076) is an individual physician assistant in Staten Island, New York and active in the NPI registry since August 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1164309076
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameVINCENT MICHAEL LANZILLOCredential: PA
Location Address42 CROMWELL CIRStaten Island, NY 10304-1102
Mailing Address42 Cromwell CirStaten Island, NY 10304-1102 · (718) 594-5668
Phone(718) 594-5668
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 20, 2025
NPPES CertifiedAugust 19, 2025
✔ NPI 1164309076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
42 CROMWELL CIR, Staten Island, NY 10304
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vincent Michael Lanzillo Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244700219
PECOS Enrollment IDI20260601000391
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Vincent Lanzillo's NPI number?

The NPI number for Vincent Lanzillo is 1164309076. It was assigned to this individual provider in the NPPES registry on August 20, 2025.

Where is Vincent Lanzillo located?

Vincent Lanzillo practices at 42 Cromwell Cir, Staten Island, NY 10304. The listed phone number is (718) 594-5668.

What is Vincent Lanzillo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Vincent Lanzillo enrolled in Medicare?

Yes. Vincent Lanzillo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vincent Lanzillo was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.