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VITAL PA PLLC
NPI 1386750297
Physician Assistant - Surgical in Jackson Heights, NY

Active since August 22, 2006
35-20 LEVERICH STREET, STE 230B, JACKSON HEIGHTS, NY 11372(917) 517-5733(718) 343-1157 Get Directions Write a Review

NPPES record last updated: April 10, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Vital Pa Pllc NPPES

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

VITAL PA PLLC (NPI 1386750297) is a healthcare organization registered as a surgical in Jackson Heights, New York and active in the NPI registry since August 2006. The organization lists Justo Martin Concepcion, President, as its authorized official.

NPPES Registry Identity

NPI1386750297
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameVITAL PA PLLC
Location Address35-20 LEVERICH STREET, STE 230BJackson Heights, NY 11372-3973
Mailing Address35-20 Leverich Street, Ste 230bJackson Heights, NY 11372-3973 · (917) 517-5733 · Fax (718) 343-1157
Phone(917) 517-5733
Fax(718) 343-1157
Organization SubpartNo
Authorized OfficialJusto Martin ConcepcionPresident · (917) 517-5733
Enumeration DateAugust 22, 2006
Last NPPES UpdateApril 10, 2009
✔ NPI 1386750297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Also ListedSurgeryTaxonomy 208600000X
35-20 LEVERICH STREET, Jackson Heights, NY 11372
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Vital PA PLLC's NPI number?

The NPI number for Vital PA PLLC is 1386750297. It was assigned to this organization in the NPPES registry on August 22, 2006.

Where is Vital PA PLLC located?

Vital PA PLLC is located at 35-20 Leverich Street Ste 230B, Jackson Heights, NY 11372. The listed phone number is (917) 517-5733.

What is Vital PA PLLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Vital PA PLLC was last updated on April 10, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.