Vitality Wellness & Rehab LLC
Vitality Wellness & Rehab LLC is a healthcare organization registered as Internal Medicine Physician in Commack, NY, holding Type 2 (organization) NPI 1083173595 since 2019. The authorized official on file is Melissa Nieli, Credentialing Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1083173595 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Vitality Wellness & Rehab LLC |
| Practice address | 66 AUSTIN BLVD, Commack, NY, 11725 |
| Phone | 9143766100 |
| Enumeration date | 2019-03-14 |
| Last updated in NPPES | 2019-03-14 |
Authorized official
| Name | Melissa Nieli |
|---|---|
| Title | Credentialing Manager |
| Phone | 9143766100 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation Physician | Secondary | — | — |
| 207R00000X | Internal Medicine Physician | Primary | — | — |
Copy-ready billing details
Provider: Vitality Wellness & Rehab LLC NPI: 1083173595 Taxonomy: 207R00000X (Internal Medicine Physician) Address: 66 AUSTIN BLVD, Commack, NY, 11725
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1689656464 | Cynthia Hey | Individual | Chiropractor | Commack, NY |
| 1336214022 | Jason Pape | Individual | Sports Physician Chiropractor | Commack, NY |
| 1427489905 | Audra Phillips-Zeledon | Individual | Health Maintenance Organization | Commack, NY |
| 1871918227 | Diana Maslauskas | Individual | Massage Therapist | Commack, NY |
| 1548661770 | Michael Miller | Individual | Acupuncturist | Commack, NY |
| 1225436504 | Danielle Vinci | Individual | Occupational Therapist | Commack, NY |
| 1336606094 | Stephanie Jaworowski | Individual | Nutritionist | Commack, NY |
| 1093487928 | Menasis-Matuza, Nurse Practitioner in Pediatrics, PC | Organization | Pediatric Nurse Practitioner | Commack, NY |
Verify this record
Cross-check NPI 1083173595 against the authoritative CMS record: view Vitality Wellness & Rehab LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Vitality Wellness & Rehab LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-03-14.