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

Vincent Bruzola Dechavez

Individual provider Internal Medicine Physician · NPI 1518352244

Vincent Bruzola Dechavez is an Infectious Disease in Staten Island, New York. Qualified in 2015, 11 years ago. Practices with Physicians of University Hospital PC, a 58-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

242 Mason Ave
Staten Island, NY 10305-3408
Phone: (182) 268-7167
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 304191-01 (NY)
Infectious Disease Physician Taxonomy 207RI0200X · Licence 304191 (NY)

Record details

NPI number1518352244
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 31, 2015
Last updated in NPPESAugust 25, 2023
Certification dateAugust 25, 2023

Medicare enrollment

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

Medicare specialtyINFECTIOUS DISEASE
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Physicians Of University Hospital Pc — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Staten Island