STEPHEN MARIO VULTAGGIO JR. DDS
NPI 1427736701
Student in an Organized Health Care Education/Training Program in Jacksonville, FL

Q: What is Stephen Vultaggio's NPI number?

The NPI number for Stephen Vultaggio is 1427736701. It was assigned to this individual provider in the NPPES registry on July 7, 2023.

Q: What is Stephen Vultaggio's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Stephen Vultaggio was last updated on March 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 07, 2023PECOS Enrolled

653 W 8TH ST, JACKSONVILLE, FL 32209(904) 244-2000(904) 244-6105 Get Directions Write a Review

NPPES record last updated: March 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Stephen Mario Vultaggio Jr. Dds NPPES

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

STEPHEN MARIO VULTAGGIO JR. DDS (NPI 1427736701) is an individual student in an organized health care education/training program in Jacksonville, Florida and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1427736701

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameSTEPHEN MARIO VULTAGGIO JR.Credential: DDS

Location Address653 W 8TH STJacksonville, FL 32209-6511

Mailing Address653 W 8th StJacksonville, FL 32209-6511 · (904) 244-2000 · Fax (904) 244-6105

Phone(904) 244-2000

Fax(904) 244-6105

Sole ProprietorNo

Enumeration DateJuly 7, 2023

Last NPPES UpdateMarch 14, 2024

NPPES CertifiedMarch 14, 2024

✔ NPI 1427736701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

653 W 8TH ST, Jacksonville, FL 32209

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Secondary Practice Location 1

Location 1345 E 24th StNew York, NY 10010-4020 · Phone (212) 998-9800

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephen Mario Vultaggio Jr. Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

MICHAEL DAVID SCHWEITZER BARRIOS MD

Internal Medicine (Pulmonary Disease)

653 W 8TH ST
JACKSONVILLE, FL 32209

Duval County (904) 383-1014

MRS. BRITTENY WINBURN

Nurse Practitioner (Pediatrics)

653 W 8TH ST
JACKSONVILLE, FL 32209

Duval County (904) 244-3660

KELLY MARIE RUFF APRN

Nurse Practitioner

653 W 8TH ST
JACKSONVILLE, FL 32209

Duval County (904) 244-2061

UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC

Oral & Maxillofacial Surgery

653 W 8TH ST
JACKSONVILLE, FL 32209

Duval County (904) 244-2000

KIMBERLY GREENWOOD JOHNSON AUDIOLOGIST

Audiologist

653 W 8TH ST, UFJAX - DEPT. OF SURGERY/OTOLARYNGOLOGY
JACKSONVILLE, FL 32209

Duval County (904) 244-7463

ANGELA M MASSEY ARNP

Nurse Practitioner (Family)

653 W 8TH ST, UROLOGY DEPT. 2ND FLOOR
JACKSONVILLE, FL 32209

Duval County (904) 244-7340

DR. TARIQ ALMEREY MD, FACS

Surgery (Surgical Oncology)

653 W 8TH ST
JACKSONVILLE, FL 32209

Duval County (904) 244-9525

MS. SHANAI LASHAYLA DIXON MD

Student in an Organized Health Care Education/Training Program

653 W 8TH ST
JACKSONVILLE, FL 32209

Duval County (904) 244-3902

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 Stephen Vultaggio's NPI number?

The NPI number for Stephen Vultaggio is 1427736701. It was assigned to this individual provider in the NPPES registry on July 7, 2023.

Where is Stephen Vultaggio located?

Stephen Vultaggio practices at 653 W 8th St, Jacksonville, FL 32209. The listed phone number is (904) 244-2000.

What is Stephen Vultaggio's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Stephen Vultaggio enrolled in Medicare?

Yes. Stephen Vultaggio is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephen Vultaggio was last updated on March 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.