Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Vital PA PLLC

Organization Surgery Physician · NPI 1386750297

Vital PA PLLC is a Surgery Physician in Jackson Heights, New York. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

35-20 Leverich St Ste 230B
Jackson Heights, NY 11372-3973
Phone: (917) 517-5733
Fax: (718) 343-1157
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X
Surgery Physician Taxonomy 208600000X

Record details

NPI number1386750297
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justo Concepcion — President · (917) 517-5733
NPI enumeratedAugust 22, 2006
Last updated in NPPESApril 10, 2009
Mailing address35-20 Leverich Street, Ste 230b, Jackson Heights, NY 11372-3973

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