CALLIE VITALO
NPI 1457722886
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Q: What is Callie Vitalo's NPI number?

The NPI number for Callie Vitalo is 1457722886. It was assigned to this individual provider in the NPPES registry on October 12, 2015.

Q: What is Callie Vitalo'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 Callie Vitalo was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since October 12, 2015PECOS Enrolled

134 N 4TH ST, BROOKLYN, NY 11249(646) 450-7748 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Callie Vitalo NPPES

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

CALLIE VITALO (NPI 1457722886) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and is a graduate of St. Louis College Of Physicians And Surgeons (2017).

NPPES Registry Identity

NPI1457722886

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameCALLIE VITALO

Location Address134 N 4TH STBrooklyn, NY 11249-3296

Mailing Address134 N 4th StBrooklyn, NY 11249-3296 · (646) 450-7748

Phone(646) 450-7748

Sole ProprietorYes

Medical School CMSSt. Louis College Of Physicians And SurgeonsGraduated 2017

Enumeration DateOctober 12, 2015

Last NPPES UpdateNovember 17, 2025

NPPES CertifiedNovember 17, 2025

✔ NPI 1457722886 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.

134 N 4TH ST, Brooklyn, NY 11249

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Callie Vitalo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466930003

PECOS Enrollment IDI20260204000138

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.

JESSICA L. HOFF PA-C

Physician Assistant