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

Individual provider Diagnostic Radiology Physician · NPI 1245203611

Dr. Stacey Vitiello, MD is a Diagnostic Radiology in Staten Island, New York. Graduated from Rutgers R W Johnson Medical School (CAM/NEW Bruns/Pisc) in 1994, 32 years ago. Practices with Montclair Breast Center PC, a 13-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
32
Trained at
Rutgers R W Johnson Medical School (CAM/NEW Bruns/Pisc)
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

360 Bard Ave
Staten Island, NY 10310-1666
Phone: (718) 876-2000
Fax: (718) 876-2006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 211696-1 (NY)

Record details

NPI number1245203611
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 8, 2006
Last updated in NPPESJanuary 14, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolRUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated 1994 (32 years in practice)
Group practice Montclair Breast Center Pc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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