VITALITY MEDICAL HEALTH PC – NPI #1609713403
Anesthesiology

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Health Care Provider Taxonomy Code for Anesthesiology

VITALITY MEDICAL HEALTH PC is an anesthesiologist located in OLD WESTBURY, NY. NPPES recently assigned the NPI number 1609713403 to VITALITY MEDICAL HEALTH PC on April 30, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207LP2900X from the Health Care Provider Taxonomy code set, which is classified as Anesthesiology, specializing in Pain Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for VITALITY MEDICAL HEALTH PC below.

NPI Profile for
VITALITY MEDICAL HEALTH PC

NPI Number
1609713403
Enumeration Date

(about 5 weeks ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
VITALITY MEDICAL HEALTH PC
Primary location
4 PINEWOOD RD
OLD WESTBURY, NY 11568-1606
Phone: (917) 862-5558 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
VITALY KOTLYAR
MD
Phone: (917) 862-5558
Updated
Certification Date
Apr 30, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207LP2900X
- Anesthesiology / Pain Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.