MEDICARE: DR. JOSEPH THOMAS VENTO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	162446	NY
2	207Q00000X	Family Medicine Physician	ME131542	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	080141779	OTHER	NY	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033195359
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH THOMAS VENTO M.D.

Provider Business Mailing Address
First Line	:	7400 18TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-5612
Country	:	US
Telephone Number	:	718-236-9446
Fax Number	:	718-236-3854

Provider Business Practice Location Address
First Line	:	23850 VIA ITALIA CIR APT 2001
Second Line	:
City	:	ESTERO
State	:	FL
Zip	:	34134-7148
Country	:	US
Telephone Number	:	917-561-5499
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2005
Last Update Date	:	03/13/2024

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Directions to “ DR. JOSEPH THOMAS VENTO M.D.” Practice Location

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