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

Vincent Patrick Vitale, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1568928885

Vincent Patrick Vitale, PHYSICIANASSISTANT is a Physician Assistant in Mount Kisco, New York. Qualified in 2018, 8 years ago. Practices with Ohiohealth Corporation, a 2,289-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2019

Practice location Address checks out

400 E Main St
Mount Kisco, NY 10549-3417
Phone: (516) 625-1014
Fax: (516) 414-4011
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 023212 (NY)

Record details

NPI number1568928885
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedFebruary 11, 2019
Last updated in NPPESFebruary 11, 2019
Mailing address112 Madison Ave, Garden City Park, NY 11040-5229

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Ohiohealth Corporation — 2289 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mount Kisco