Provider Demographics
NPI:1386506129
Name:TARULLI, VITO ROCCO JR (PA-C)
Entity type:Individual
Prefix:MR
First Name:VITO
Middle Name:ROCCO
Last Name:TARULLI
Suffix:JR
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:164 GRAND ST APT 3
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-6452
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:240 E 18TH ST STE 21
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-3605
Practice Address - Country:US
Practice Address - Phone:212-598-6137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-12-01
Last Update Date:2025-12-01
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical