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

Dr. Vito Fodera, MD

Individual provider Neuroradiology Physician · NPI 1376818039

Dr. Vito Fodera, MD is a Diagnostic Radiology in Commack, New York. Qualified in 2007, 19 years ago. Practices with Golden State Imaging Associates Inc, a 243-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
19
Licensed in
NY
In the registry since
2012
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

763 Larkfield Rd
Commack, NY 11725-3131
Phone: (631) 489-5000
Fax: (631) 858-1990
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neuroradiology Physician (primary) Taxonomy 2085N0700X · Licence 60264556 (NY)

Record details

NPI number1376818039
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 14, 2012
Last updated in NPPESFebruary 19, 2014

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Golden State Imaging Associates Inc — 243 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations15 on file with Medicare